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Description The Lead Medical Director relies on medical background and reviews health claims. ... reviews health claims. The Lead Medical Director requires a solid understanding of ... across department(s). Responsibilities..
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... Responsibilities Title : Clinical Trend Medical Director Assignment: Enterprise Clinical Management, Clinical ... is seeking a Clinical Trend Medical Director. As a clinical trend leader ... that will positively..
Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. ..
Description The Medical Director relies on fundamentals of CMS ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... East Coast hours. Responsibilities The..
Description The Medical Director relies on fundamentals of CMS ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... a rotating basis Responsibilities The..
Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in Aberdeen South Dakota Description Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be responsible for the ..
Job Information Humana Associate VP, Clinical Pharmacy (Remote) in Aberdeen South Dakota Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support and strategy ..
Job Information Humana Director of Public Policy in Aberdeen South Dakota Description The Director of Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public policy ..
Description The Medical Director relies on fundamentals of CMS ... and per diem requests. The Medical Director provides medical interpretation and determinations whether services ... some cases) contracts. Responsibilities The..
Description This position is for Enclara Pharmacia, a Humana company. Enclara, is a wholly owned hospice and palliative care pharmacy business acquired by Humana in 2021. Enclara is the nation's largest ..
Job Information Humana Oncology Market Director in Aberdeen South Dakota Description ... South Dakota Description The Market Director, Oncology leverages targeted geographic analysis, ... Pharmacy for fulfillment. The Market Director,..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Aberdeen ... South Dakota Description The Associate Director, Utilization Management Nursing utilizes clinical ... coordination, documentation and communication of medical..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Job Information Humana Director, State Public Policy in Aberdeen South Dakota Description The Director of State Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public ..
Description The Medical Director relies on fundamentals of CMS ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... Saturday and Sunday. Responsibilities The..
... coordination with the Board, the medical staff and other health services ... adequacy of the health system’s medical activities. Consult with relevant personnel ... implement same. Coordinate efforts of..
Description The Lead Behavioral Health Medical Director oversees the work of 2 ... oversees the work of 2 Medical Directors who conduct clinical case ... themselves. The Lead Behavioral Health..
Job Information Humana Associate Vice President, Quality Improvement for Healthy Horizons in Aberdeen South Dakota Description As a company whose primary focus is on the well-being of its members, Humana is ..
Description The Director, Pharmacy Clinical Pipeline oversees the ... Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking ... and finance teams. Responsibilities The Director, Pharmacy Pipeline requires..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
... Humana Medicare Appeals and Grievance Medical Director in Aberdeen South Dakota Description ... Aberdeen South Dakota Description The Medical Director relies on fundamentals of CMS ... C Line of..
Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to solve for the healthcare challenges of today. The Clinical Analytics and Trend team uses advanced scientific techniques, ..
