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Description As the Director, Sales Product -Employer Group you will be responsible for defining and executing upon the sales product strategy & enablement plans across specific local markets and lines of ..
Description The Lead Product Manager for Specialty products leads all phases of the product life cycle for Dental, Vision and Life products, from inception to introduction into the marketplace. Responsibilities Position ..
Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new ..
Description The Manager, STARS Improvement develops, implements, and manages oversight of the company's Medicare Stars Program. This position will manage the Stars improvement team. Responsibilities The Manager, STARS Improvement develops the ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Job Code 74444 Job Description rJob Description r Supervises and coordinates the staff and daily activities of staff in a laboratory. Drives results in a fast-paced environment by providing operational leadership ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Job ID 21000LR6Available Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Bridgeport Connecticut Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the clinical ..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..
Director of Healthcare Epidemiology Position Summary: The Director of Healthcare Epidemiology is an important role at Stony Brook Medicine. The incumbent will be responsible for leading a team of infection control ..
Description Humana is seeking an experienced management professional to lead an interactive team with broad exposure and scope within Humana. This position will work and collaborate with leaders across the Humana ..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
Job Information Humana Manager, Pharmacy and Medical Trend in Bridgeport Connecticut Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and medical, ..
Job Information Humana Director, Behavioral Health Strategy in Bridgeport Connecticut Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care for ..
Job Information Humana UM Medical Director - Conviva in Bridgeport Connecticut Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Job Information Humana Finance M&A Integration Senior Project Manager in Bridgeport Connecticut Description Humana's Finance Shared Services organization is looking for a Finance M&A Integration Senior Project Manager to drive project-oriented ..
Description The Associate Director, Full Stack Engineering Performs software engineering activities in all layers of the stack, from setting up the database to programming in the back-end and the appearance at ..
Description: Providence St. Joseph Health is calling a Director Patient Outreach and Financial Sponsorship PSJH to work remotely within our footprint states: AK, CA, MT, OR, TX and/or WA. We are ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Director of the Pediatric Residency Program Category: Academics Subscribe: Department: College of Health Professions [CHP] Locations: Fairfield, CT Posted: Apr 19, 2023 Closes: Apr 21, 2023 - 11:59 PM EDT Type: ..
