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Description Responsibilities The Associate Director for ACD Audit , at the director of the Director of Payment Integrity, will create and implement process improvement plans focused on the beneficiary and provider ..
Description The Supervisor, Consultative Pharmacy Technicians certified Pharmacy Technician who acts as an intake for all calls from patients, pharmacies and providers. The Supervisor, Consultative Pharmacy Technicians works within thorough, prescribed ..
Description Humana Special Needs Plans provide personalized guidance and resources to help members get the right care and information based on their specific condition or needs. Beneficiaries qualify with the following ..
Job Information Humana Supervisor, Credentialing in Albany New York Description Responsibilities The Supervisor, Credentialing Operations is responsible for supervising activities associated with certification and recertification of providers in the TRICARE East ..
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 ..
The Center for Disability Services offers hope, innovation and achievement to the people we support.For 80 years, we have been one of upstate New York’s largest providers of programs and services ..
Location: Albany, New York Department: ABA Services Posted: 05/25/2023 Location Name: Albany Wage: TBD Position Type: Part Time Come join a team of passionate therapists providing excellent pediatric therapy to children ..
The Center for Disability Services offers hope, innovation and achievement to the people we support.For 80 years, we have been one of upstate New Yorku2019s largest providers of programs and services ..
Description The Care Delivery Tele Sales Supervisor supports and develops a team of Care Delivery Tele Sales Agents. The Care Delivery Tele Sales Supervisor provides timely and effective support to assist ..
Description The Compliance (UM) Coordinator 3 conducts and summarizes compliance audits. The Compliance (UM) Coordinator 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical ..
... Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in ... Albany New York Description The Supervisor, Pre-Authorization Nursing will be managing ... to the appropriate stakeholder. The..
Clinical/Social Worker Supervisor, Foster Care Job Details Job ... details Foster Care Clinical/Social Worker Supervisor This position has the flexibility ... seeking a full-time Clinical/Social Worker Supervisor who will be..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
Description The Supervisor, 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 Supervisor, Compliance ..
Job Information Humana Director, Informatics in Albany New York Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights ..
Job Information Humana Manager of Fraud and Abuse Data Analytics in Albany New York Description Responsibilities The Manager of Fraud and Abuse Data Analytics will be responsible for the supervision of ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
Location: Albany, New York Department: ABA Services Posted: 05/25/2023 Location Name: Albany Wage: TBD Come join a team of passionate therapists providing excellent pediatric therapy to children throughout the United States! ..
Description The Learning Facilitation Professional 2 (LFP2) plans, coordinates, conducts or facilitates learning experiences for Humana Military associates and/or external audiences. The LFP2 creates an environment that is conducive to learning ..
Description The Referrals Coordinator 2 processes referrals from Civilian providers. The Referrals Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Typically works on semi-routine assignments. Responsibilities The Referrals ..
PrimeCare Medical of New York, Inc. isu00a0looking for enthusiastic and hard-workingu00a0Registered Nurses (RN) to work either part-time or per diem in the Medical Department at the Greene County Jail located in ..
Description The Integrated Model for D-SNP team is focused on delivering an integrated member experience through a multidisciplinary team. Focused on the highest risk D-SNP members, this team coordinates both inbound ..