Healthcare Operations Manager Jobs in Pittsburgh

Description The Senior Product Manager - Fully Insured supports strategy ... business. Responsibilities The Senior Product Manager supports all phases of the ... desired outcomes. The Senior Product Manager will..

Description The Lead Product Manager for Specialty products leads all ... Position Overview The Lead Product Manager Leads all phases of the ... Key Responsibilities The Lead Product Manager works..

Description Responsibilities The Telephonic Care Manager will be part of the Humana Military Care Management team; providing a comprehensive, holistic approach for Disease Management and Personal Nurse programs throughout the continuum ..

We have an immediate opportunity for Case Managers. General Summary: The Case Manager coordinates and manages services provided to each patient to establish a focused, individualized program geared towards specific goals ..

Description The Manager, Software Engineering codes software applications ... based on business requirements. The Manager, Software Engineering works within specific ... schedules and goals. Responsibilities The Manager, Software Engineering standardizes..

Job Information Humana Specialty Pharmacy RX Education Manager in Pittsburgh Pennsylvania Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, identifying member ..

Job Information Humana Medicare/Medicaid Program Manager -- Remote in Pittsburgh Pennsylvania ... looking for an experienced Program Manager (internally known as an Acquisition ... contracts. As a Medicaid/Medicare Program Manager..

Job Information Humana Specialty Pharmacy RX Enrollment Manager in Pittsburgh Pennsylvania Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, identifying member ..

Job Overview Position: Clinic Manager - Renal Location: Co. Wexford ... in recruitment for a Clinic Manager. As a Clinic manager you will manage and lead ... Desirable Requirements Management..

Description The Manager, STARS Improvement develops, implements, and ... Stars improvement team. Responsibilities The Manager, STARS Improvement develops the programs ... Proficiency in analyzing and interpreting healthcare data and trends..

... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary. The PDC Care..

Job Information Humana Product Manager Lead, Pharmacy Transformative Products Team, ... 60 market leader in integrated healthcare with a clearly defined purpose ... us redefine the future of healthcare. With..

Job Information Humana Lead Product Manager - Group Dental, Vision and ... Pennsylvania Description The Lead Product Manager Leads all phases of the ... needed. Responsibilities The Lead Product Manager..

... care while maintaining cost-effective clinical operations in accordance with all legal, ... all patients. Must complete Clinical Manager training modules and ongoing developmental ... all patients. Must complete Clinical..

... leader. If you haven't considered Healthcare before, read on as we ... as we think you should. Healthcare Experience is NOT required. For ... year after year. As a..

Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Government. Responsibilities The Telephonic Care Manager will..

Job Information Humana Manager of Fraud and Abuse Data ... Pittsburgh Pennsylvania Description Responsibilities The Manager of Fraud and Abuse Data ... with Claims Oversight, Provider Network Operations, Claims Cost..

PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure provision of quality ..

Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..

Job Information Humana Technical Product Manager - Remote in Pittsburgh Pennsylvania ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..

Job Information Humana Manager, Care Management Social Services-WAH Nationwide ... Description Job Description Summary The Manager, Care Management leads teams of ... multi-disciplinary care management team. The Manager, Care Management..

Job Information Humana Lead Product Manager - Ancillary Products in Pittsburgh ... Pennsylvania Description The Lead Product Manager Leads all phases of the ... needed. Responsibilities The Lead Product Manager..

Description The Manager, Medical Coding oversees the coding team that is reviewing inpatient records for appropriate coding to include ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific guidelines ..