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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 ..
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 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..
Job Information Humana Director, Technology Risk Management in Metairie ... in Metairie Louisiana Description The Director, Technology Risk Management is responsible ... highly effective leadership. Responsibilities The Director, Technology Risk..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Metairie ... in Metairie Louisiana Description The Associate Director, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The..
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..
Job Information Humana Director, Care Delivery and EMR/EHR Technology ... New Orleans Louisiana Description The Director, Technology Solutions devises an effective ... and the core EMR/EHR. The Director, Technology Solutions..
... Horizons in Louisiana is seeking Associate Director, Provider Engagement will oversee a ... care for Humana members. The Associate Director, Provider Engagement is a content ... for provider engagement..
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..
... Short Term Rental (CSTR). The Associate Director Of Development is responsible for ... Team building: recruiting, retention, and training Resource utilization/billability Establish a project ... to Design & Install..
Job Information Humana Director, Provider Services - Louisiana Medicaid ... in Metairie Louisiana Description The Director, Provider Engagement develops and grows ... with the health plan. The Director, Provider Engagement..
Job Information Humana Director, Quality Improvement in Metairie Louisiana ... in Metairie Louisiana Description The Director, Quality Improvement implements quality improvement ... plan, and annual evaluation. The Director, Quality Improvement..
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 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 Director, Technology and Cybersecurity Risk Management is responsible for developing and managing effective risk management processes and for performing technology and cybersecurity risk assessments across Humana. This involves directing ..
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..
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 Director, Care Delivery and EMR/EHR Technology ... in Metairie Louisiana Description The Director, Technology Solutions devises an effective ... and the core EMR/EHR. The Director, Technology Solutions..
... 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..
