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Bristol-Myers Squibb is a global Biopharma company committed to a single mission: to discover, develop, and deliver innovative medicines focused on helping millions of patients around the world in disease areas ..
Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..
Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward ..
... industry insights to improve member outcomes Responsible for the identification of ... of initiatives that will improve outcomes Ability to leverage industry research ... a matrixed environment to deliver..
... drive improved customer experience and outcomes based on external inputs (e.g. ... deliver clinical, experiential and financial outcomes. Build and manage a high-performing ... reporting on product and client-level..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Jersey City New Jersey Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, ..
Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for Humana ..
Job Information Humana Telephonic Care Coach -WAH Nationwide in Jersey City New Jersey Description The Care Coach 1, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve ..
At Bristol Myers Squibb, we are inspired by a single vision - transforming patients' lives through science.In oncology, hematology, immunology and cardiovascular disease - and one of the most diverse and ..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
Job Information Humana Social Worker - Telephonic Behavioral Health in Jersey City New Jersey Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' ..
Job Information Humana Physician - CenterWell - Atlanta, GA - College Park in Jersey City New Jersey Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand ..
Description The Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The Staff Utilization Management Pharmacist work assignments involve moderately ..
Job Information Humana Social Worker-MSW and licensure required- Telephonic Behavioral Health-SNP- WAH Nationwide in Jersey City New Jersey Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, ..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Jersey City New Jersey Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners ..
Job Information Humana Healthcare Lead Product Manager: Hispanic Segment Medicare Advantage in Jersey City New Jersey Description The Lead Product Manager Conceives of, develops, delivers, and manages products for Hispanic MA ..
Job Information Humana Healthcare Lead Product Manager: Chinese and Korean Segment Medicare Advantage in Jersey City New Jersey Description The Lead Product Manager Conceives of, develops, delivers, and manages products for ..
Job Information Humana Social Worker - Telephonic Behavioral Health- WAH Nationwide in Jersey City New Jersey Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and ..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
