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... home. The Utilization Management (UM) Clinical Vendor Management Lead works as ... Lead will report directly to Director of Vendor Management and Oversight ... to substantial. The Utilization Management..
... to complex issues where the analysis of situations or data requires ... Humana implements its multi-year Enterprise Clinical Operating Model (ECOM) strategy there ... learning & decision-making across Humana's..
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Job Information Humana Medicaid Associate Director, Compliance Nursing in Chicago Illinois ... in Chicago Illinois Description The Associate Director, Compliance Nursing reviews utilization management ... fraud, waste, and abuse. The..
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 Medical Director - Florida Medicaid in Chicago ... Chicago Illinois Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..
Job Information Humana Associate VP, Health Plan Quality Improvement ... Health Plan Quality Improvement and Performance in Chicago Illinois Description The ... in Chicago Illinois Description The Associate VP, strategically..
Job Information Humana Medical Director - S. Florida in Chicago ... Chicago Illinois Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... to complex issues where the analysis of situations..
Job Information Humana Associate VP, Business Transformation and Clinical Innovation in Chicago Illinois Description ... The AVP, Business Transformation and Clinical Innovation leads the business transformation ... The AVP, Business..
... Claims Management (ORCM), Division of Clinical Risk Management, identifies, measures, monitors ... In addition, the Division of Clinical Risk Management is responsible for ... in the identification, assessment and..
Job Information Humana Associate Director/Grievances and Appeals-Remote/Virtual in US in ... in Chicago Illinois Description The Associate Director, Grievances & Appeals manages client ... a comprehensive analytic review of clinical..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Chicago ... team that helps translate the clinical into financial to ensure Humana ... external vendors and providers. The Director,..
Description Humana is a Fortune 60 market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health and well-being ..
Job Information Humana Associate VP, Quality Improvement in Chicago ... The AVP, Quality Improvement and Performance will develop, maintain, own and ... and execute strategies to improve performance of the..
Job Information Humana Director, Strategy and Business Development for ... Strategy and Business Development for Clinical Solutions in Chicago Illinois Description ... in Chicago Illinois Description The Director, Strategy and..
... partner feedback to evaluate product performance and adjust as needed. Responsibilities ... partner feedback to evaluate product performance and adjust as needed. As ... Product Manager works alongside the..
Job Information Humana Director, Behavioral Health Network & Market ... in Chicago Illinois Description The Director, Behavioral Health (BH) Network and ... providers are engaged and recommend clinical models based..
Job Information Humana Medical Director - Texas in Chicago Illinois ... Chicago Illinois Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..