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... antigen receptor T cell (CAR-T) therapy services Guide members by providing information ... design and identify potentially unnecessary services and care delivery settings and ... in the fast-paced industry..
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... expertise within the realm of Healthcare Quality operations and improvement methodology, ... a subject matter expert in healthcare quality measurement, best practices, and ... Assurance (NCQA), the Agency for..
... Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided under the Exceptional ... and authorizations. Coordinate and approve services for ABA Therapy. Review outcome measures to ensure..
... Autism Spectrum Disorder (ASD) related services in accordance with the Autism ... Service Navigator (ASN) by coordinating services and researching necessary resources to ... beneficiary and increase access to..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment Facilities (MTFs) and civilian providers for the ACD program. The ACD Referral Coordinator performs varied ..
... of behavioral and physical health services, including utilization management (UM), quality ... development of new products and services in Humana's Medicaid BH delivery ... management components of Humana's BH..
Description The Staff Clinical Pharmacist manages the formulary processes for the Clinical Formulary Administration team for the Medicaid LOB. The Staff Clinical Pharmacist work assignments involve moderately complex to complex issues ..
