Become a part of our caring community 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
Become a part of our caring community The UM Administration Coordinator 1 contributes to administration of utilization management. The UM Administration Coordinator 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments. UM
Become a part of our caring community The UM Administration Coordinator 1 contributes to administration of utilization management. The UM Administration Coordinator 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments. UM
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Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The
Become a part of our caring community The Senior Informaticist coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Senior Informaticist work assignments
Become a part of our caring community The Pharmacy Stars Improvement Lead will be a part of a collaborative Pharmacy Stars team which is accountable for Humanas Stars patient safety measure performance. The Pharmacy Stars Improvement
Become a part of our caring community About Humana Care Management: Are you passionate about improving the health outcomes for the Special Needs population? If so, becoming a part of Humana’s Care Management Team and the
Become a part of our caring community Are you passionate about shaping the future of pharmacy services and delivering exceptional experiences for both patients and business partners? CenterWell Pharmacy invites accomplished professionals to join our dynamic
Become a part of our caring community The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families
Become a part of our caring community As a remote Telephonic Care Manager you will report to a Manager of Care Management. You will be providing a comprehensive, holistic approach for Case Management (CM) Special Populations
Become a part of our caring community The UM Administration Coordinator (UMAC) provides non-clinical support for policies ensuring the most appropriate treatment, care or services for members using services. Reporting to the Manager of Utilization Management,