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... hire a Gender-Based Violence Prevention Program Manager to help support the Assistant ... Center. The Gender-Based Violence Prevention Program Manager will assist in planning, designing, ... experience. Experience must..
Description The Field Care Manager NP assesses and evaluates member's ... of members. The Field Care Manager NP works on problems of ... substantial. Responsibilities The Field Care Manager NP..
Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... schedules and goals. Responsibilities The Manager, Utilization Management Nursing..
Description The Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or ..
... lines of business including annual program description, work plan, and annual ... for Humana's Ohio Medicaid Quality Program, in alignment with organizational quality ... Operate an NCQA compliant quality..
Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..
... Deloitte ConvergeHealth Patient Services - Manager in Cincinnati Ohio ConvergeHealth Patient ... Cincinnati Ohio ConvergeHealth Patient Services Manager ConvergeHEALTH is a part of ... and supports data-driven transformation of..
Job Information Humana Director Medicaid Provider Services (State of OH) in Cincinnati Ohio Description The Director Medicaid Provider Services oversees the plan's strategic provider services, provider engagement and network development. They ..
... Humana Clinical Analytics and Trend Program Manager in Cincinnati Ohio Description The ... The Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... progress and performance..
Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... action. Responsibilities The RN Care Manager, Telephonic Nurse..
Description The Director, Population Health Strategy is responsible for improving the quality of care and outcomes while managing costs for a defined group of people. The Director, Population Health Strategy requires ..
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 ..
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 ..
... acumen to solve for the healthcare challenges of today. The Clinical ... home anywhere The Clinical Trend Program Manager (PM) role designs, communicates, and ... progress and performance against..
... Section 4. Responsibilities The ACD Program Integrity Lead responsibilities include analyzing ... the ACD policy requirements and Program Integrity policies, procedures and workflows ... Qualifications 3 plus years of..
Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides managed Medicaid health insurance. Requires an ..
... As the Associate Director, IT Project Management, you will use your ... your background and experience in program management to lead and manage ... staffing is appropriate to meet..
Description The Fraud Investigation Technician 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud Investigation Technician 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. ..
