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Description The Transplant Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates transplant members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families ..
Description The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare, requires and in-depth understanding ..
Description The Medical Director actively uses their medical background, experience, and judgement to ... and other sources of expertise. Medical Directors will learn Medicare and ... in their daily work...
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Commercial requirements ... daily work. Responsibilities Title:..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... of variable factors. Responsibilities..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Profile..
Description The Senior Compliance Professional will work with Humana Primary Care Organization's internal business partners to oversee and track compliance issues, trend data, prepare regular reporting, provide compliance support to PCO ..
Description o Our search is focused on identifying an individual contributor who will take ownership of Medicare risk adjustment programs that fit best with our providers by implementing operational and clinical ..
Job ID 21000KEAAvailable Openings 1Position Specific Information This is a Remote / Work From Home position Healthcare Revenue Cyce Experience a Must Have PURPOSE AND SCOPE: The Sr. Business Analyst develops, ..
... to the member's physician and medical director for appropriate interventions Works closely ... case managers, attendings, PCP and medical director, community agencies and other approved ... dotted line reporting..
Job Information Humana Senior Major Incident Manager (remote virtual home office) in San Antonio Texas Description The Senior Major Incident Manager drives technical support teams to recover services during periods of ..
Description The Senior Technology Leadership Professional collaborates with Associate VP, Directors and Managers on quality goals and initiatives in all aspects of software or hardware product delivery and performance. You will ..
Job Information Humana Red Team Lead( virtual remote home office) in San Antonio Texas Description Our Red Team Lead is responsible to lead a group a Red Team Operators through the ..