Healthcare Risk Manager Jobs

Description The Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires a solid understanding of how organization capabilities ..

Job Information Humana Clinical Strategy and Practice Lead (Behavioral Health) - Oklahoma, OK in Oklahoma City Oklahoma Description The Clinical Strategy & Practice Lead will oversee our behavioral health (BH) clinical ..

Job Information Humana Associate Director, Utilization Management Nursing - Oklahoma City, OK in Oklahoma City Oklahoma Description The Associate Director, Utilization Management Nursing uses clinical knowledge, communication skills, and independent critical ..

Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..

... knowledge, review various reports, including risk assessment reports, and claims data; ... supervisor/plan/client Attend meetings with account manager, client, vendors, and other healthcare team members as needed Secure, .....

Description The Manager, Utilization Management (Behavioral Health) utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management ..

... us and discover why Modern Healthcare Magazine named us in its ... with cancer genetics and/or cancer risk assessment and screening are desired. ... without exposure to genetics &..

Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..

We are a fast-growing tech company that provides a SaaS-based healthcare analytics platform for medical records analysis and targeted solutions for HEDIS® Hybrid, Medicare and Exchange Risk Adjustment and comprehensive, year-round ..

... knowledge, review various reports, including risk assessment reports, and claims data; ... supervisor/plan/client Attend meetings with account manager, client, vendors, and other healthcare team members as needed Secure, .....

Job Information Humana Associate Director, Quality Improvement - Oklahoma City, OK in Oklahoma City Oklahoma Description The Associate Director, Quality Improvement provides strategic leadership for Humana's Oklahoma Medicaid Quality Program, in ..