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Humana
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Annapolis, Maryland
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medical interpretation and determinations whether services provided by other healthcare professionals are ... in teams focusing on quality management, utilization management, case management, discharge planning
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Humana
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Annapolis, Maryland
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determinations whether services provided by other healthcare professionals are in agreement with national ... / Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management
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Humana
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Annapolis, Maryland
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medical interpretation and determinations whether services provided by other healthcare professionals are ... in teams focusing on quality management, utilization management, case management, discharge planning
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Humana
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Annapolis, Maryland
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resource utilization and overall process improvement related to workforce management strategies
Self ... , our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare
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Humana
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Annapolis, Maryland
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healthcare and operational data to support healthcare utilization investigations, while working ... .
Experience with how utilization management (UM) and regulatory guidance can influence clinical strategies
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Humana
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Annapolis, Maryland
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, other healthcare providers, clinical group practice management.
Utilization management experience ... medical interpretation and determinations whether services provided by other healthcare professionals are
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Humana
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Annapolis, Maryland
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healthcare providers.
Utilization management experience in a medical management review organization ... quality management, utilization management, and acute inpatient rehabilitation.
Preferred
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Humana
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Annapolis, Maryland
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determinations whether services provided by other healthcare professionals are concordant with national ... , with prior experience participating in teams focusing on quality management, utilization management
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Humana
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Annapolis, Maryland
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specific healthcare areas such as EMR, Episode grouper, utilization management, value-based care, low value ... company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for
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Intel
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Annapolis, Maryland
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opportunity globally, assessing resource utilization, maintaining project management systems, tracking project ... , including retail, enterprise and government, cloud services and healthcare as examples. The operations team
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Humana
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Annapolis, Maryland
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focusing on quality management, utilization management, case management, discharge planning and/or home ... / Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management
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Oracle
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Annapolis, Maryland
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management executives across a diverse and complex set of healthcare customers, developing strategy and ... management experience. Preferred 4+ years of consulting services senior management experience with P&L
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Humana
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Annapolis, Maryland
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quality management, utilization management, or similar activities
**Preferred Qualifications ... practice management
Utilization management experience in a medical management review organization such
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Teradata
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Annapolis, Maryland
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confidence and drive utilization of Teradata software and services through education and strategy sessions to ... trust at different customer levels including senior/executive management, IT decision makers all leading
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Humana
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Annapolis, Maryland
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, prioritize and execute on utilization management-focused initiatives to drive appropriate care in order to ... in driving appropriate clinical decisions for members through utilization management/prior
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Humana
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Annapolis, Maryland
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and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve ... expertise and management reporting to improve sales performance and increase market share. Develop go to
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UnitedHealth Group
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Annapolis, Maryland
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Address and triage Care Management and Utilization Management issues in partnership with the member’s ...
Demonstrated competency working with Enrollees and/or families who require intensive case management services
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Oracle
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Annapolis, Maryland
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Energy & Utilities
Financial Services
Healthcare
Strategic Accounts/Pursuits
Disclaimer ... and management of OCI resources, ensuring consistency and efficiency.
**Security and Compliance
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Oracle
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Annapolis, Maryland
...
Energy & Utilities
Financial Services
Healthcare
Strategic Accounts/Pursuits
Disclaimer ... and management of OCI resources, ensuring consistency and efficiency.
**Security and Compliance
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Fresenius Medical Care North America
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Annapolis, Maryland
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of the future of healthcare, apply today.
**PRINCIPAL RESPONSIBILITIES AND DUTIES ... reports.
Partners with internal Human Resources, Quality, and Technical Services departments
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Oracle
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Annapolis, Maryland
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Energy & Utilities
Financial Services
Healthcare
Strategic Accounts/Pursuits
Disclaimer ... and management of OCI resources, ensuring consistency and efficiency.
**Security and Compliance
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CenterWell
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Annapolis, Maryland
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performance and delivery of quality home care services, and is available at all times during operating hours ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon
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Humana
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Annapolis, Maryland
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and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve ... best practices and system utilization.
Participate in system upgrades, testing, and the
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Oracle
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Annapolis, Maryland
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Energy & Utilities
Financial Services
Healthcare
Strategic Accounts/Pursuits
Disclaimer ... and management of OCI resources, ensuring consistency and efficiency.
**Security and Compliance
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Intel
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Annapolis, Maryland
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industries, including retail, enterprise and government, cloud services and healthcare as examples. The ... and solutions.
Collaborates with global cloud service providers (CSPs), digital services/SaaS
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Highmark Health
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Annapolis, Maryland
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captures all inbound phone inquires for utilization management review from providers and pharmacies. The ... Highmark's Utilization Management system for Prior Authorization clinical review, status research, etc
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Oracle
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Annapolis, Maryland
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Energy & Utilities
Financial Services
Healthcare
Strategic Accounts/Pursuits
#LI-DNI ... and management of OCI resources, ensuring consistency and efficiency.
**Security and Compliance
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Humana
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Annapolis, Maryland
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of services provided by other healthcare professionals in compliance with review policies, procedures ... improving consumer experiences
Preferred Qualifications
Medical utilization management
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Amergis
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Annapolis, Maryland
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patient care andassisting others in the management of patient care.
Position Details ... Leader of utilization of other team members, outside agencies, and community resources upon initial
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CVS Health
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Annapolis, Maryland
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utilization of licenses and consumption-based services, drive initiatives to optimize expenditures. Identify ... provides management services. We do not discriminate in recruiting, hiring, promotion, or any other
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