Associate Director Clinical Operations Jobs in Pittsburgh

Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the ... and/or benefit administration determinations. The Associate Director, Utilization Management Nursing requires a ... to grow,..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Pittsburgh Pennsylvania ... in Pittsburgh Pennsylvania Description The Associate Director, Compliance Nursing reviews utilization management ... fraud, waste, and abuse. The..

Description The Associate Director, Project Management manages all aspects ... time and within budget. The Associate Director, Project Management requires a solid ... Location: work at home The Associate Director,..

... experience and vitality of the associate community. Through offerings anchored in ... to join our team as Associate Vice President, Home Care Product ... efficiency and stakeholder experience for..

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..

Description The Medical Director actively uses their medical background, ... resources which may include national clinical guidelines, Humana contract language, Humana ... coverage policies and determinations, MCG, clinical reference materials,..

... 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..

... Responsibilities: Field Medical Leadership Support Director MSL Team Lead in deployment ... demonstrating an excellent scientific and clinical knowledge as well as an ... of affiliate and field organization):..

Description The Associate Director, Operational Readiness ensures optimized interaction ... function spans multiple contact center operations with varying degrees of readiness ... Where you Come In The Associate Director, Operational..

Job Information Humana Associate VP, Clinical Pharmacy (Remote) in Pittsburgh Pennsylvania ... in Pittsburgh Pennsylvania Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, ... and medical literature, while..

Job Information Humana Associate Director/Grievances and Appeals-Remote/Virtual in US in ... in Pittsburgh Pennsylvania Description The Associate Director, Grievances & Appeals manages client ... a comprehensive analytic review of clinical..

Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Pittsburgh ... team that helps translate the clinical into financial to ensure Humana ... external vendors and providers. The Director,..

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..

... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Pittsburgh ... its Provider Support team and associate's responsibilities. HQRI is an organization ... Stars and Risk Adjustment Strategy,..

... and Risk Adjustment National Medical Director in Pittsburgh Pennsylvania Description The ... to Humana's national planning and operations for Risk Adjustment, Stars, and ... and 3) contribute as a..

... Analytics is looking for an Associate Director of Data Science to lead ... advanced analyses to drive business operations to help our members avoid ... future adverse health events...

Description The Director, Pharmacy Clinical Pipeline oversees the medical and ... leaders across the Humana enterprise, clinical subject matter experts, analytics, actuaries ... and finance teams. Responsibilities The Director, Pharmacy..

... 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..

Job Information Humana Associate Director, Technology Solutions in Pittsburgh Pennsylvania ... 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 Pittsburgh ... Provider Medicaid operational business. The Associate Director, Provider Data Interoperability plans, coordinates ... to build and maintain data operations..

Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Pittsburgh ... in Pittsburgh Pennsylvania Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the .....

Description The Associate Director, Product Management is accountable for ... for Salesforce Health Cloud. The Associate Director leads all phases of the ... inception to introduction into the Business/Operations, by..

... 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..