Manager Jobs

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 Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Lima Ohio Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..

Job ID 21000LQSAvailable Openings 1PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior ..

Job Information Humana Manager, Care Management(Behavioral Health) - Ohio Medicaid in Lima Ohio Description Humana Healthy Horizons in Ohio is seeking Managers of Care Management who will lead our behavioral health ..

Description Humana Health Horizons in Ohio is seeking Field Care Managers, Behavioral Health 2 who will assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness state by ..

Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Lima Ohio Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..

Job Information Humana RN, Field Care Manager 2 - Maternity, L&D, Mother Baby (Ohio Medicaid) in Lima Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager ..

Description This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance program to ..

Description The Associate Director, Full Stack Engineering Performs software engineering activities in all layers of the stack, from setting up the database to programming in the back-end and the appearance at ..

Description Humana Healthy Horizons in Ohio is seeking Managers of Care Management (Physical Health & Behavioral Health) who will lead our physical or behavioral health care management operations and staff to ..

Job ID 21000LQSAvailable Openings 1Position Specific Information This role is full-time with beneifits, 30 hours per week during normal business hours. PURPOSE AND SCOPE: Provides psychosocial services to patients treated by ..

Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Lima Ohio Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..

Job Information Humana Regional Community Engagement Professional 2- OHIO Remote/Field in Lima Ohio Description With a laser focus on addressing health disparities and equity, the Health Equity and Community Engagement Regional ..

Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..

Job Information Humana Care Manager, Registered Nurse, RN - Maternity, ... Ohio Description The Field Care Manager assesses and evaluates member's needs ... members. Responsibilities The Field Care Manager Nurse..

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. ..

Job Information Humana RN, Field Care Manager, Maternity, L&D, Mother Baby in Lima Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager 2 with Maternity, L&D, ..

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..

Job Information Humana Manager, Fraud and Waste-Remote US in Lima Ohio Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..

Job Information Humana Care Manager, Licensed Behavioral Health Professional or ... Ohio Description The Field Care Manager, Behavioral Health 2 (Care Manager, Behavioral Health) assesses and evaluates ... members. Responsibilities..

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. ..

Job Information Humana Care Manager, Registered Nurse, RN in Lima ... is seeking a Field Care Manager to assess and evaluate member's ... Company! Responsibilities The Field Care Manager Nurse..