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... analytical approach. Responsibilities The Supervisor, (Healthcare Call Center) Inbound Contacts addresses ... supervises a group of typically support and technical associates; coordinates and ... Working experience working in a..
Job Information Humana Clinical Recruiter 2 - VSP in Sandy Utah Description The Clinical Recruiter 2 interviews prospective employees for hourly and salaried positions. Assists with Pharmacy recruiting from entry level ..
... facilities, or community groups to support regional market priorities, which may ... or care management. Medical Directors support Humana values, and Humana's Bold ... whether services provided by other..
Description The Care Management Support Assistant 2 contributes to administration ... of care management. Provides non-clinical support to the assessment and evaluation ... of members. The Care Management Support Assistant..
Orriant Customer Service Agent/Support Coach The Orriant Customer Service Agent/Support Coach is responsible to provide proper education to participants to maintain eligibility for the wellness program. Other responsibilities include assisting participants ..
Job Information Humana Clinical Analytics and Trend Program Manager in Sandy Utah Description The Clinical Strategy and Practice Lead builds strategies for development, engagement, best clinical practices and processes for clinical ..
Description The Senior Clinical Strategy and Practice Professional builds strategies for development, engagement, best clinical practices and processes for clinical community within the enterprise The Senior Clinical Strategy and Practice Professional ..
... advanced and highly specialized administrative/operational/customer support duties that require independent initiative ... initiative and judgment. Responsibilities The Healthcare Call Center Lead role works ... guidance. Working experience in a..
Description The Care Management Support Assistant 3 contributes to administration ... of care management. Provides non-clinical support to the assessment and evaluation ... of members. The Care Management Support Assistant..
Job Information Humana Manager, Behavioral Provider Contracting - Remote in Sandy Utah Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers and ..
Job Information Humana Actuary, Risk and Compliance in Sandy Utah Description This Actuary role is a newly created role within the Senior Products Actuarial Compliance team focused on special Medicare Advantage ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Job ID 21000G3QAvailable Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..
... degree Advanced degree in a healthcare-related field Knowledge of NCQA accreditation ... & Health Promotion Accreditation, Multicultural Healthcare Distinction, and/or LTSS Distinction Auditing ... job as we are a..
Description The Actuary, Pricing MA-PD is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new ..
... centralized functions and services to support 24/7 clinical operations delivery, Preauthorization ... efficient processes are in place; Support development of national clinical staffing ... work with Medicaid markets to..
... facility The Supervisor, Care Management Support will lead a team of ... a team of 16-22 care support professionals and contributes to administration ... of care management. Provides non-clinical..
Description The Pharmacy Clinical Advisor Professional 2 is an integral part of the Pharmacy Stars team which is accountable for Humana's Patient Safety and medication related Star measure performance. The Pharmacy ..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Sandy Utah Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the ..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
Job Information Humana Physician - CenterWell - Atlanta, GA - College Park in Sandy Utah Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a ..