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Description The Manager, Coding Education identifies opportunities to ... to each assigned provider. The Manager, Coding Education works within specific ... schedules and goals. Responsibilities The Manager, Coding Education reviews..
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..
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 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..
... Humana Nationwide Medicaid Behavioral Health Quality Lead in Metairie Louisiana Description ... Louisiana Description The Behavioral Health Quality Lead will report directly to ... directly to the National Medicaid..
... ensuring timely access to good quality support and care. It also ... by supporting the Regional Health Manager Americas, in leading the company ... – Powering Healthier Lives. Health..
Job Information Humana Manager, Pharmacy and Medical Trend in ... biosimilar pipeline process. Produce top quality presentations and reports to be ... Six Sigma, Lean (or other quality program) background..
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 Senior Quality Program Delivery Professional (Medicaid) - ... Horizons is seeking a Senior Quality Program Delivery Professional who will ... who will manage and support quality improvement..
Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Metairie Louisiana Description Humana ... Healthy Horizons is seeking a Quality Improvement Program..
Description The Provider Relations Manager - Behavioral Health (BH) oversees, leads, and supports a team of associates that grow positive, long-term relationships with contracted BH providers in order to facilitate a ..
Job Information Humana RN, Manager, Utilization Management Nursing in Metairie ... Horizons is seeking a RN, Manager, Utilization Management Nursing who will ... and/or benefit administration determinations. The Manager, Utilization..
Description The Manager, Provider Relations develops and grows ... relationships with physicians, providers and healthcare systems in order to support ... support and improve financial and quality performance within the..
Job Information Humana Director, Quality Improvement in Metairie Louisiana Description ... Metairie Louisiana Description The Director, Quality Improvement implements quality improvement programs for all lines ... and annual evaluation. The..
Job Information Humana Technical Product Manager - Remote in Metairie Louisiana ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
... Information Humana Behavorial Economics Program Manager - Test & Learn Portfolio ... acumen to solve for the healthcare challenges of today. The Clinical ... the resources to complete the..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Metairie ... Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... Member Plan (EFMP), auditing for quality..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
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 ..
Description The Principal Quality Leader will lead testing and ... Leader will lead testing and quality collaboration between Business and IT, ... tools and assure adherence to quality standards. Serves..
... acumen to solve for the healthcare challenges of today. The Clinical ... anywhere The Clinical Trend Program Manager (PM) role designs, communicates, and ... progress and performance against the..
