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Humana
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Harrisburg, Pennsylvania
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, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group ... national clinical guidelines, CMS policies and determinations, clinical reference materials, internal
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Humana
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Harrisburg, Pennsylvania
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organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical ... assisted by diverse resources which may include national clinical guidelines, CMS policies and
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Humana
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Harrisburg, Pennsylvania
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/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management ... national clinical guidelines, CMS policies and determinations, clinical reference materials, internal
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Humana
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Harrisburg, Pennsylvania
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dynamic Lead Product Manager to develop clinical solutions for our members and providers, with full ... clinical solutions to help drive improved health outcomes for our members. The Lead Product Manager sits in
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Humana
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Harrisburg, Pennsylvania
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(3) years of clinical experience.
This department is **available Monday - Friday from 7:00 AM-5 ... sufficient clinical information. The UM Behavioral Health RN work assignments are varied and frequently
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Humana
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Harrisburg, Pennsylvania
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national clinical guidelines, CMS policies and determinations, clinical reference materials, internal ... Medical Director's work includes computer based review of moderately complex to complex clinical scenarios
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Humana
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Harrisburg, Pennsylvania
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/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management ... regulatory compliance, and work is assisted by diverse resources, which may include national clinical
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Humana
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Harrisburg, Pennsylvania
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sources to produce requested or required data elements. This role will support our Medicaid Clinical ... the care and service they need, when they need it. These efforts are leading to a better quality of
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Humana
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Harrisburg, Pennsylvania
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national clinical guidelines, CMS policies and determinations, clinical reference materials, internal ... Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios
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Humana
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Harrisburg, Pennsylvania
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organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical ... assisted by diverse resources which may include national clinical guidelines, CMS policies and
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Humana
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Harrisburg, Pennsylvania
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operations/management
4 or more years of experience with Vendor Management Systems, preferably SAP ... experience
Technical and Clinical Contingent Labor management experience
Excellent analytical
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Humana
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Harrisburg, Pennsylvania
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provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT ... payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code
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Humana
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Harrisburg, Pennsylvania
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, Practice Transformation, Data Analytics, Post-Acute Care and Clinical Quality, and the opportunity to ... tailor their experience through various projects in quality oversight, data reporting, performance
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