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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..
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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. ..
... for performing clinical audits on medical record documentation for quality and ... support the submitted charges. Comprehensive medical records review will be conducted ... assigned by Supervisor, Manager and/or..
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 Nationwide Medicaid Behavioral Health Quality Lead in Portland Maine Description The Behavioral Health Quality Lead will report directly to the National Medicaid Quality Director, and be responsible for ..
About this role:As a Social Worker with Fresenius Medical Care, you will provide psychosocial services for our dialysis clinic patients. You will work with the health care team to promote positive ..
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 ... Saturday and Sunday. Responsibilities The..
Job Information Humana Oncology Market Director in Portland Maine Description The ... Portland Maine Description The Market Director, Oncology leverages targeted geographic analysis, ... Pharmacy for fulfillment. The Market Director,..
Job Information Humana Director of Public Policy in Portland Maine Description The Director of Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public policy development ..
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 Quality Improvement Program Lead (National Medicaid Quality) in Portland Maine Description Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be responsible for the end ..
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 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 Nationwide Associate Director, Utilization Management Nursing in Portland ... Portland Maine Description The Associate Director, Utilization Management Nursing utilizes clinical ... coordination, documentation and communication of medical..
Job Information Humana Director, State Public Policy in Portland Maine Description The Director of State Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public policy ..
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 ... East Coast hours. Responsibilities The..
... Humana Medicare Appeals and Grievance Medical Director in Portland Maine Description The ... in Portland Maine Description The Medical Director relies on fundamentals of CMS ... C Line of..
Job Information Humana Associate VP, Clinical Pharmacy (Remote) in Portland Maine Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support and strategy to ..
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 Vice President, Quality Improvement for Healthy Horizons in Portland Maine Description As a company whose primary focus is on the well-being of its members, Humana is dedicated ..
