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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 ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
... 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..
Job Information Marriott Senior Manager, Social Media Management Platform in Salt Lake City Utah Job Number 23020999 Job Category Sales & Marketing Location Marriott International HQ, 7750 Wisconsin Avenue, Bethesda, Maryland, ..
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 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 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 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 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 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 ..
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 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 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 ..
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 ..
Comcast's Technology, Product & Experience organization works at the intersection of media and technology. Our innovative teams are continually developing and delivering products that transform the customer experience. From creating apps ..
... 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 Marriott Sr. Manager, MDS Client Partner in Salt Lake City Utah Job Number 23026944 Job Category Sales & Marketing Location Marriott International HQ, 7750 Wisconsin Avenue, Bethesda, Maryland, United ..
