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... drug manufacturers and providers. The Director, Pharmacy Clinical Formulary and Medical Strategies requires ... specialty to develop and/or implement clinical strategies to mitigate cost while ... medical drug strategies...
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Job Information Humana Medicaid Associate Director, Compliance Nursing in Torrance California ... in Torrance California Description The Associate Director, Compliance Nursing reviews utilization management ... fraud, waste, and abuse. The..
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,..
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 Director/Grievances and Appeals-Remote/Virtual in US in ... Los Angeles California Description The Associate Director, Grievances & Appeals manages client ... a comprehensive analytic review of clinical..
Job Information Humana Associate Director, Provider Data Interoperability in Los ... Provider Medicaid operational business. The Associate Director, Provider Data Interoperability plans, coordinates ... to build and maintain data operations..
This is a Sr. Director Regional Operations role that will direct and ... is required for this role. Clinical background a plus, but not ... Services, the Vice President of..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Torrance ... team that helps translate the clinical into financial to ensure Humana ... external vendors and providers. The Director,..
... 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 VP, Clinical Pharmacy (Remote) in Torrance California ... in Torrance California Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, ... and medical literature, while..
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..
Job Information Humana Associate Director/Grievances and Appeals-Remote/Virtual in US in ... in Torrance California Description The Associate Director, Grievances & Appeals manages client ... a comprehensive analytic review of clinical..
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..
... scattered-site, one-on-one supportive housing, and clinical case management programs through partnerships ... evaluation. WHAT IS AN FHSP ASSOCIATE DIRECTOR? The FHSP Associate Director position is an amazing opportunity .....
... 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 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 Associate Director, Provider Data Interoperability in Torrance ... Provider Medicaid operational business. The Associate Director, Provider Data Interoperability plans, coordinates ... to build and maintain data operations..
... and Risk Adjustment National Medical Director in Torrance California Description The ... to Humana's national planning and operations for Risk Adjustment, Stars, and ... and 3) contribute as a..
Job Information Humana Associate Director, Technology Solutions in Torrance California ... team in the role of Associate Director, Technology Solutions to as a ... training, etc. Reports to a Director..
... 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 Nationwide Associate Director, Utilization Management Nursing in Torrance ... in Torrance California Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the .....
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..