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Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
... courses of action. Responsibilities The Case Manager will be a member ... be a member of the Case Management Team, providing a comprehensive, ... a comprehensive, holistic approach for..
Description As a company whose primary focus is on the well-being of its members, Humana is dedicated to shifting perceptions of the health insurance industry. We believe our role goes beyond ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description Humana's Director, Observability Products is a pivotal role in driving and maturing the Enterprise Observability capabilities. Responsibilities Key Responsibilities include, but are not limited to: partner with architecture, operations, engineering ..
Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate ..
Description Deliver a simplified Dental Provider Experience by driving digital and technology solutions forward in a cross collaborative and influential manner Identify the solutions and structure needed to provide exceptional service ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
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 Marriott Senior Manager, Social Media Management Platform in Oklahoma City Oklahoma Job Number 23020999 Job Category Sales & Marketing Location Marriott International HQ, 7750 Wisconsin Avenue, Bethesda, Maryland, United ..
Description The Director, Data Science uses mathematics, statistics, modeling, business analysis, and technology to transform high volumes of complex data into advanced analytic solutions. The Director, Data Science requires an in-depth ..
Seco Tools is seeking an expert sales leader for a Regional Sales Manager role in the Southwestern Region of the United States, an ideal candidate will live in the Dallas/Ft. Worth, ..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
... pharmacy review work, and appeal case review. The Medical Director reviews ... inpatient services, including rounds with case management teams Performs Peer to ... on quality management, utilization management,..
Job Information Humana Chief Medical Officer/Regional VP, Health Services in Tulsa Oklahoma Description For more than 60 years, Humana's business has centered around human care, rooted in empathy and understanding, with ..
Job Information Marriott Sr. Manager, MDS Client Partner in Oklahoma City Oklahoma Job Number 23026944 Job Category Sales & Marketing Location Marriott International HQ, 7750 Wisconsin Avenue, Bethesda, Maryland, United States ..
