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Description Responsibilities The Associate Director, Actuarial Pricing establishes market level financial metrics to align with segment profitability goals, analyzes market level results and projections and develops recommended pricing actions to address ..
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Description The Associate Director, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Associate Director, Utilization Management Nursing requires a ... the clinical delivery process. The Associate Director,..
Description Responsibilities The Associate Director for ACD Audit , at ... ACD Audit , at the director of the Director of Payment Integrity, will create ... as optimizing operational processes...
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The Medical Director actively uses..
Description The Behavioral Health Medical Director responsible for behavioral health care ... operations. The Behavioral Health Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director..
Description The Medical Director actively uses their medical background, ... within a context of regulatory compliance, and work is assisted by ... daily work. Responsibilities The Medical Director's work includes..
Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical Director provides medical interpretation and determinations ... and Sunday. Responsibilities The Medical Director provides medical..
Job Information Humana Director, Care Delivery and EMR/EHR Technology ... Las Vegas Nevada Description The Director, Technology Solutions devises an effective ... and the core EMR/EHR. The Director, Technology Solutions..
Description The Medical Director's primary responsibility is the review ... level of care. The Medical Director's work assignments involve moderately complex ... of health. Responsibilities The Medical Director actively uses..
Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical Director provides medical interpretation and determinations ... rotating basis Responsibilities The Medical Director provides medical..
Description The Medical Director relies on fundamentals of CMS ... per diem requests. The Medical Director provides medical interpretation and determinations ... cases) contracts. Responsibilities The Medical Director provides medical..
Job DescriptionThe Associate Manager’s primary function is to ... of the Store Manager. The Associate Manager directs and motivates the ... visually distinctive and impeccably maintained.The Associate Manager’s goal is..
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..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Las ... Las Vegas Nevada Description The Associate Director, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The..
... Develop, plan, organize, and supervise training for primary care providers including ... also need to incorporate EMR, compliance, primary care policy and procedure, ... standards, team communication as needed...
... seeking an experienced and dynamic Associate Director of Accreditation to manage a ... with cross-functional teams to ensure compliance with NCQA standards, manage team ... with cross-functional teams to..
Job Information Humana Director, Technology Risk Management in Las ... Las Vegas Nevada Description The Director, Technology Risk Management is responsible ... highly effective leadership. Responsibilities The Director, Technology Risk..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... within a context of regulatory compliance, and work is assisted by ... daily work. Responsibilities The Medical Director..
... in an assigned area ensuring compliance with established company and regulatory ... growth of area while ensuring compliance with all pertinent company policies ... management team/succession planning through coaching,..
