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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 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..
Job Information Humana Oncology Market Director in Fargo North Dakota Description ... North Dakota Description The Market Director, Oncology leverages targeted geographic analysis, ... Pharmacy for fulfillment. The Market Director,..
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 ..
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..
Job Information Humana Associate Vice President, Quality Improvement for Healthy Horizons in Fargo North Dakota Description As a company whose primary focus is on the well-being of its members, Humana is ..
Job Information Humana Director of Public Policy in Fargo North Dakota Description The Director of Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public policy ..
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 Fargo North Dakota Description The Director of State Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public ..
Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in Fargo North Dakota Description Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be responsible for the ..
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 VP, Clinical Pharmacy (Remote) in Fargo North Dakota Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support and strategy ..
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 ..
... Humana Medicare Appeals and Grievance Medical Director in Fargo North Dakota Description ... Fargo North Dakota Description The Medical Director relies on fundamentals of CMS ... C Line of..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Fargo ... North Dakota 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 ... Saturday and Sunday. Responsibilities The..
Seeking Pain Management Medical Director in thriving economic community - ... physician will serve as the Medical Director of the Pain Management Program ... education.rnScope of practice is primarily medical..
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..
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, ..
