Clinical/Allied Health Opportunities at HAP
Coordinate credentialing and contracting activities and initiate requests to add new providers or change provider par status and demographics within...
Coordinate credentialing and contracting activities and initiate requests to add new providers or change provider par status and demographics within...
GENERAL SUMMARY: To lead, coach, direct and assume responsibility for the day-to-day functions of the Case Management. Assumes responsibility to...
General Summary: To provide behavioral medicine utilization management, care/case management, disease management, population health management and...
General Summary: Manager of Quality & Compliance Operations, under the direction of the Director of Consumer and Service Excellence Strategy, is...
GENERAL SUMMARY: Consultation, leadership and direction for client engagements and associated reporting deliverables. Responsible for design,...
GENERAL SUMMARY: Conduct root cause analysis on service failure/issues that affect Member/Provider populations. Provide customer centric expertise...
ACCOUNTABILITY OBJECTIVE: The Utilization Review (UR) Nurse ensures services meet member’s health needs and promotes the provision of high quality...
GENERAL SUMMARY: Responsible for investigating Provider Appeal requests and Code Review inquiries for all Utilization Management divisions,...
Responsible for leading, coaching, directing, and assuming responsibilities for the day-to-day functions of the Health Care Management’s Training and...