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... the Vice President, Medical Management Operations and serves as a member ... guarantees while focusing on improving clinical and financial outcomes for the ... and growth of directors and..
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... leverage innovative technologies and excellent clinical care to improve health outcomes ... technical teams who partner with clinical and operational experts to support ... of our care team. The..
Description Director of Strategy & Ops Advancement, Humana at Home plays an important role within Humana at Home (HAH) to define, land and execute on our key strategic priorities and drive ..
Description The Behavioral Health Medical Director responsible for behavioral health care ... behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex ... Business's..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Honolulu Hawaii ... in Honolulu Hawaii Description The Associate Director, Compliance Nursing reviews utilization management ... fraud, waste, and abuse. The..
... Risk Adjustment Integrity Unit (RAIU) Associate Director works collaboratively across the enterprise, ... and values. Responsibilities The RAIU Associate Director is directly responsible for the ... for the day..
Job Information Humana Associate Director/Grievances and Appeals-Remote/Virtual in US in ... in Honolulu Hawaii Description The Associate Director, Grievances & Appeals manages client ... a comprehensive analytic review of clinical..
Job Information Humana Associate Director, Technology Solutions in Honolulu Hawaii ... team in the role of Associate Director, Technology Solutions to as a ... training, etc. Reports to a Director..
Job Information Humana Associate Director, Provider Data Interoperability in Honolulu ... Provider Medicaid operational business. The Associate Director, Provider Data Interoperability plans, coordinates ... to build and maintain data operations..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director will provide..
... business functionality and culture and operations - to embrace modern cloud-based ... and our associates. Responsibilities The Associate Director, Product Management leads all phases ... Enrollment Product leadership team,..
Description The Director of Product Management for Clinical Pharmacy Products develops and evaluates ... business acumen. Responsibilities As the Director of Product Management for Clinical Pharmacy Products, you will be..
Job Information Humana Director, Informatics in Honolulu Hawaii Description ... in Honolulu Hawaii Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... resources which may include national clinical guidelines, Humana contract language, Humana ... and determinations, medical necessity criteria, clinical..
... experience and vitality of the associate community. Through offerings anchored in ... for the newly-created role of Associate Vice President, Behavioral Health Strategy. ... across the enterprise (e.g., with..
Description The Director, Market Development provides support to ... relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract ... federal contract application submissions. The Director, Market Development requires..
... several impacted business areas, including clinical services, sales, marketing, IT/technology, and ... and customer service. As a Director of Consumer Experience Strategy, you ... and align work to core..