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Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..
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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 Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires a solid understanding of how organization capabilities ..
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..
Job Information Humana Director, State Public Policy in Cincinnati Ohio Description The Director of State Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public policy ..
... As one of the oldest medical schools in the country, the ... and operating procedures: Liaison with medical staff, university departments, ancillary departments, ... act as a consultant within..
Description The Lead Medical Director for Humana Healthy Horizons in ... Ohio Medicaid relies on their medical background to review health claims ... services. He/she actively uses their medical background,..
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..
Job Information Humana Oncology Market Director in Cincinnati Ohio Description The ... Cincinnati Ohio Description The Market Director, Oncology leverages targeted geographic analysis, ... Pharmacy for fulfillment. The Market Director,..
Job Information Humana Director of Public Policy in Cincinnati Ohio Description The Director of Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public policy development ..
Description The Associate Director, Utilization Management Nursing uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, ..
... As one of the oldest medical schools in the country, the ... system and Cincinnati Children's Hospital Medical Center, College of Medicine's doctors ... With world-class research, teaching and..
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..
... Information Humana Behavioral Health Administrative Director in Cincinnati Ohio Description The ... Description The Behavioral Health Administrative Director builds strategies for development, engagement, ... community within the enterprise. The..
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, ..
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 Associate Director, Provider Relations (Ohio Medicaid) - ... Horizons is seeking an Associate Director, Provider Relations who will oversee ... Managed Care Contract. The Associate Director is..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Cincinnati ... Cincinnati Ohio Description The Associate Director, Utilization Management Nursing utilizes clinical ... coordination, documentation and communication of medical..
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..
... As one of the oldest medical schools in the country, the ... this role: Associate clinical chairs, Medical Directors and Associate Medical Directors, Advance Practice Professionals. ESSENTIAL ... between..
... Humana Medicare Appeals and Grievance Medical Director in Cincinnati Ohio Description The ... in Cincinnati Ohio Description The Medical Director relies on fundamentals of CMS ... C Line of..
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..
