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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 ..
... be included in the patient medical records and support the provider ... Job Title: Your Home Advantage Medical Director Location: Louisville, KY or Work ... Certified in an approved..
Description Responsibilities The Associate Director Medical/Financial Risk Evaluation leads a few powerful teams dedicated to reducing waste and abuse in the health care industry and its impacts on Humana. These teams ..
Job Information Humana RN, Associate Director, Utilization Management (Long Term Care) ... is seeking a RN, Associate Director of Utilization Management for Long ... for members. The RN, Associate Director..
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 Tampa Florida Description The Director of State Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public policy ..
Description Assignment Capsule: Be a part of a team that's dedicated to improving the health and well-being of our members, our associates, and the communities we serve. This position offers an ..
... for the PCO University. Monitor medical performance and provide guidance to ... years' experience in clinical practice Medical staff leadership experience for a ... care, prior experience in this..
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 Director of Public Policy in Tampa Florida Description The Director of Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public policy development ..
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 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 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 Director, Behavioral Health Operations for Medicaid in Tampa Florida Description The Director, Behavioral Health Operations for Medicaid will help build strategy for development and implementation of best practices ..
Job Information Humana Medical Director of Long Term Care, Florida ... Description The Long Term Care Medical Director supports the Long Term Care ... with contractual requirement. Responsibilities The Medical..
Description The Director, Health Services utilizes clinical nursing ... coordination, documentation and communication of medical services and/or benefit administration determinations. ... and/or benefit administration determinations. The Director, Health Services requires..
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..
... 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..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Tampa ... Tampa Florida Description The Associate Director, Utilization Management Nursing utilizes clinical ... coordination, documentation and communication of medical..
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..
... Humana Medicare Appeals and Grievance Medical Director in Tampa Florida Description The ... in Tampa Florida Description The Medical Director relies on fundamentals of CMS ... C Line of..
