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6 fresh jobs found
Behavioral Health Medical Director - Medicaid
Remote US, United States Humana logo Humana
Computer-Based Review CGX Community Groups Clinical reference materials CMS policies Medical background MCG Medical Director Clinical evaluation +48
Exec Senior Full Time
USD 223K+
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UM Administration Coordinator
Work at Home - Florida, United States Humana logo Humana
Clinical Requests CGX Computations ICD-10 codes ICD Clinical Review Electronic Medical Records Eligibility verification Utilization Review +51
Mid Full Time
USD 40K+
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Supervisor, UM Administration - Medicare
Remote US, United States Humana logo Humana
Ethical Decision Making Operational Concepts CGX Microsoft Office Word Judgement Supervisory experience Consumer Experiences Verbal and written communication Supervisory +41
Mid Full Time
USD 71K+
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Senior Clinical Process Improvement Professional
Remote US, United States Humana logo Humana
Clinical process improvement CGX Re-engineering Business practices Process Analysis Business Process Analysis Business Process Microsoft Applications Productivity +62
Senior Full Time
USD 78K+
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Community Resource Outreach Representative - Bilingual Spanish/English
Work at Home - Florida, United States Humana logo Humana
CGX Social determinants Bilingual Spanish/English Rating Microsoft Office Applications Social Determinants of Health Bilingual English/Spanish Bilingual (English Call Center Experience +38
Entry Full Time
USD 38K+
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Utilization Management Nurse
Work at Home - Florida, United States Humana logo Humana
CGX Interpreting Criteria MCG Clinical Nursing Medical Services Registered Nurse Clinical knowledge Utilization management BI +38
Mid Full Time
USD 71K+
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