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Description The Lead Medical Director relies on medical ... and reviews health claims. The Lead Medical Director requires a solid ... interrelate across department(s). Responsibilities The Lead Medical Director provides..
... and initiatives involving own departmental area. Requires cross departmental collaboration, and ... collaboration, and conducts briefings and area meetings; maintains frequent contact with ... Clinical Operations delivery including: Supporting..
... part of the CenterWell leadership team, a subsidiary whose purpose is ... people everywhere, including our associates, lead their best lives. We support ... we serve, including our associates,..
Description The Pharmacy Clinical Advisor Professional 2 is an integral part of the Pharmacy Stars team which is accountable for Humana's Patient Safety and medication related Star measure performance. The Pharmacy ..
Description As Lead Actuary of the Risk Predictive ... of the Risk Predictive Models team, you have an opportunity to ... of the Risk Predictive Models team, you will be..
... Digital Health & Analytics (DH&A) team within Humana to build a ... Digital Health & Analytics (DH&A) team within Humana to build a ... other members of the care..
... we serve, including our associates, lead their best lives. We support ... member of the Ancillary Care team. The Care Coordinator provides individualized ... engaging with other Ancillary Care..
... the Autism Care Demonstration (ACD) team performance to ensure compliance with ... collaboration, conducts briefings and work area meetings; maintains frequent contact with ... collaboration, conducting internal briefings and..
Description The Behavioral Health Parity Compliance Lead will play an integral role in the oversight and management of our Mental Health Parity Compliance Program. Responsibilities This role is responsible for monitoring ..
... applications including digital industrial transformation. Lead a multi-functional organization, which includes ... in work processes. Define and lead appropriate market segmentation and positioning ... manage complex issues within functional..
... healthcare leader to join our team as Associate Vice President, Strategy ... & Stars. The Risk Adjustment team collects and submits members' health ... The Health Quality and Stars..
Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new ..
Description Responsibilities This role within the Autism Care Demonstration (ACD) Team, will work closely with Care Management leaders and Subject Matter Experts in the areas of Case Management, Utilization Management and ..
Description The Senior Clinical Business Professional is a clinical partner to the Commercial Product Strategy team. The Senior Clinical Business Professional work assignments involve moderately complex to complex issues where the ..
Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..
Description The Care Management Support Assistant 2 (CMSA2) contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain ..
Description The Senior Physician Recruiter recruits qualified physicians for medical staff and assists in development of strategic physician recruitment plans. The Senior Physician Recruiter work assignments involve moderately complex to complex ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
... The Clinical Strategy and Practice Lead builds strategies for development, engagement, ... The Clinical Strategy and Practice Lead works on problems of diverse ... collaboration, and conducts briefings and..
Description Humana's Enterprise Clinical Management team needs your clinical, business and ... The Clinical Analytics and Trend team uses advanced scientific techniques, data ... Clinical Analytics and Trend (CAT) team..
Description The Experience Strategy & Transformation Lead enhances the consumer experience by architecting experiences and building capabilities that will positively impact our customers. The Experience Strategy & Transformation Lead works on ..
Job Information Humana Senior Accreditation Professional in Green Bay Wisconsin Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance ..