Description The Manager, Care Management leads teams of nurses and BH professionals responsible for BH care management. This role works with specific guidelines and procedures; applied advanced technical knowledge to solve moderately complex problems; receives assignments
Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. This role works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments
Description Are you passionate about the Medicare population, looking for an opportunity to work in sales with the ability to directly impact your own income potential? Do you have a track record of building trusting relationships
Description Quality Improvement Manager will implement and monitor quality improvement program components, including annual program description, work plan, and annual evaluation. The Quality Improvement Manager works within specific guidelines and procedures, receives assignments in the form
Description Healthcare isn’t just about health anymore. It’s about caring for family, friends, finances, and personal life goals. It’s about living life fully. At Humana, we want to help people everywhere, including our associates, lead their best lives. We
Description The Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or implement strategies and programs to
Description The Compliance & Contract Audit Lead is responsible for oversight of the Contractor’s risk management process. The position shall analyze operations and critically assess compliance with all requirements. Responsibilities Position Responsibilities: Coordinates the preparation and
Description The Health Equity Director is responsible for setting direction and establishing strategy to address health inequities and improve the health, wellbeing of our enrollees in Oklahoma by developing and integrating data-informed and equitable solutions that
Description The Utilization Management Nurse applies a Person-Centered approach, works within specific guidelines and procedures; applies advanced technical knowledge and clinical criteria to solve moderately complex problems. Responsibilities The Utilization Management Nurse 2 uses clinical knowledge,