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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 ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... New Jersey Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Job Information Humana Manager, Utilization Management RN - Remote ... City New Jersey Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
Description The Manager, Software Engineering codes software applications based on business requirements. The Manager, Software Engineering works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; ..
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 ..
Description The Bilingual Manager, Learning Facilitation , plans, coordinates, and implements all aspects of training programs for participants throughout for Grievance and Appeals / Careplus. EST states Responsibilities The Bilingual Grievances ..
An acute care hospital in beautiful New Jersey is looking to add an Emergency Department Nurse Manager to their growing team! This award-winning acute care hospital has a wide array of ..
Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..
Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a Telephonic Care Manager for our..
ADP is hiring a Manager, FP&A. In this individual contributor position, you will manage the full range of planning, forecasting and analysis activities including building and reviewing financial models and incorporating ..
Job Information Humana Medicare/Medicaid Program Manager -- Remote in Jersey City New Jersey Description Humana's Enterprise Shared Services organization is seeking an outstanding cross-functional program leader to join its Business Management ..
Job Information Humana Lead Product Manager - Group Dental, Vision and Life in Jersey City New Jersey Description The Lead Product Manager Leads all phases of the product life cycle for ..
Location: Montville, NJ Job Summary: The Billing Manager is responsible for overseeing the billing, revenue cycle, and accounts receivable day to day processes for this role. This role requires a strong ..
Description The Manager, Medical Coding oversees the coding team that is reviewing inpatient records for appropriate coding to include ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific guidelines ..
Job Information Humana Technical Product Manager - Remote in Jersey City New Jersey Description The Senior Product Management Professional/Technical Product Manager (TPM) must be able to lead, plan and track all ..
Description The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls from members; calls may include providing reminders of preventive screenings, assists with transferring calls to nurses, and answer general questions ..
Job Information Humana Specialty Pharmacy RX Enrollment Manager in Jersey City New Jersey Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, ..
Description The Manager, STARS Improvement develops, implements, and manages oversight of the company's Medicare Stars Program. This position will manage the Stars improvement team. Responsibilities The Manager, STARS Improvement develops the ..
Job Information Humana Care Manager, Telephonic Nurse 2 - WAH ... New Jersey Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
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..
Description The Care Manager, Telephonic Nurse 2, in a ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a Telephonic Care Manager for our..
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 ..
