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Job Information Humana Manager, Behavioral Provider Contracting - Remote in Tulsa Oklahoma Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers and ..
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 ..
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 ..
Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ..
Job Information Humana Technical Product Manager - Remote in Tulsa Oklahoma ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
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 ..
... Humana Telephonic Behavioral Health Care Manager in Tulsa Oklahoma Description The ... Description The Behavioral Health Care Manager, in a telephonic environment, assesses ... members. The Behavioral Health Care..
Job Information Humana Care Manager, Telephonic Nurse 2 Certified Diabetes Care and Education Specialist-Remote-US in Tulsa Oklahoma Description The Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless nursing ..
... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... in Tulsa Oklahoma Description The Healthcare Quality Reporting & Improvement (HQRI) ... that leads Humana's Stars and..
Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness by guiding members/families toward resources appropriate for the ..
Job Information Humana Medicare/Medicaid Program Manager -- Remote in Tulsa Oklahoma ... looking for an experienced Program Manager (internally known as an Acquisition ... contracts. As a Medicaid/Medicare Program Manager..
... Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in ... in Tulsa Oklahoma Description The Risk Management Professional 2 identifies and .....
Description The Risk Management Professional 2 a critical ... member within Humana's Third Party Risk Management Program (TPRM), a 2nd ... our program by implementing vendor risk management practices and..
... Information Humana AVP, Stars and Risk Adjustment National Medical Director in ... in Tulsa Oklahoma Description The Healthcare Quality Reporting & Improvement (HQRI) ... national planning and operations for..
... Finance M&A Integration Senior Project Manager in Tulsa Oklahoma Description Humana's ... Finance M&A Integration Senior Project Manager to drive project-oriented duties related ... Finance M&A Integration Senior Project..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Tulsa Oklahoma Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Description The Manager, Risk Adjustment oversees coding educators and ... and Medicaid Services (CMS). The Manager, Risk Adjustment works within specific guidelines ... schedules and goals. Responsibilities The Manager, Risk..
Job Information Humana Senior Medical/Financial Risk Clinical Professional in Tulsa Oklahoma ... Oklahoma Description The Senior Medical/Financial Risk Clinical Professional is responsible for ... implementation and monitoring of medical/financial risk...
... Humana Communications & Sales Conduct Risk Management Lead-US-Remote in Tulsa Oklahoma ... Oklahoma Description The Sales Conduct Risk Management Lead a critical member ... member of Humana's Third Party..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Government. Responsibilities The Telephonic Care Manager will..
Description Responsibilities The Telephonic Care Manager will be part of the Humana Military Care Management team; providing a comprehensive, holistic approach for Disease Management and Personal Nurse programs throughout the continuum ..
Job Information Humana Enterprise Risk Management Lead-US-Remote in Tulsa Oklahoma ... Oklahoma Description The Sales Conduct Risk Management Lead a critical member ... member of Humana's Third Party Risk Management..
