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Description The Senior Policy Governance Professional policy Governance is the combination ... goals. The Senior Policy Governance Professional work assignments involve moderately complex ... Responsibilities The Senior Policy Governance Professional..
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Description The Senior Risk Management Professional identifies and analyzes potential sources ... risk. The Senior Risk Management Professional work assignments involve moderately complex ... Responsibilities The Senior Risk Management Professional..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description The Financial Analytics Professional 2 manages data to support and influence decisions on day-to-day operations, strategic planning and specific business performance issues. The Financial Analytics Professional 2 work assignments are ..
Description The Senior Provider Engagement, Clinical Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the ..
... with qualifying ASD diagnoses. Provide professional and courteous service to all ... Electronic Questionnaire for Investigation Processing). Healthcare professional with a minimum of a ... case management, clinics and/or..
Description Responsibilities The Autism Care Demonstration (ACD) Senior Learning Design Professional analyzes content, organizes content, designs solutions, and writes storyboards, scripts, performance support, newsletters and notification letters. Analyzes learning needs and ..
Job Information Humana Provider Contracting Professional - Behavioral Health in Honolulu Hawaii Description The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral health physician, hospital, and/or other provider contracts and ..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an ..
Description The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional 2 work ..
... The WEEKEND Pre-Authorization Behavioral Health Professional 2 reviews prior authorization requests ... needed. The Pre-Authorization Behavioral Health Professional 2 work assignments are varied ... As a Pre-Authorization Behavioral Health..
Description The Senior Clinical Business Professional manages all aspects of a ... budget. The Senior Clinical Business Professional work assignments involve moderately complex ... Responsibilities The Senior Clinical Business Professional..
Description Responsibilities This position will maintain the Humana Military ACD website Autism Center of Excellence (CoE); ensuring educational information is current and relevant to training needs in addition to analyzing and ..
Description The Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of ..
Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism Care Demonstration ..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
Job Information Humana Senior Product Management Professional / Release Train Engineer in Honolulu Hawaii Description The Senior Product Management Professional / Release Train Engineer must be able to lead, plan and ..
Client Caregiver/Nurse Aide Wilson Homecare is looking for professional caregivers/nurse aides to care for our clients. We are a growing homecare agency with clients throughout the island of Oahu. Wilson's philosophy ..
Description The Senior Risk Management Professional a critical member within Humana's Third Party Risk Management Program (TPRM), a 2nd Line of Defense function, will be responsible for maturing our program by ..
Description The Provider Contracting Professional 2 initiates, negotiates, and executes dental provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional 2 work assignments are varied ..
