Associate Director Healthcare Clinical Jobs in Springfield

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 Springfield Missouri ... in Springfield Missouri 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,..

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

Job Information Humana Associate Director Pharmacy Technology and Strategy Advancement ... customers, with ease and with clinical guidance to help each individual ... this critical care needs The Associate Director..

Description The Associate Director, Operational Readiness ensures optimized interaction ... Where you Come In The Associate Director, Operational Readiness ensures optimized interaction ... Our Fortune 100 Company values associate engagement..

Description The Associate Director, Data Science uses mathematics, statistics, ... into advanced analytic solutions. The Associate Director, Data Science requires a solid ... of our members, and the healthcare industry..

Description The Associate Director, Product Management is accountable for ... for Salesforce Health Cloud. The Associate Director leads all phases of the ... and success outcomes. Responsibilities The Associate 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..

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

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

Job Information Humana Associate Director, Technology Solutions in Springfield Missouri ... 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 ... documented and remediated...

Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical Director provides medical interpretation and determinations ... whether services provided by other healthcare professionals are..

Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to ... acumen to solve for the healthcare challenges of today. The Clinical Analytics and Trend team..

... more information, please contact:Erika Flewellen, Associate RecruiterPhone: 405-752-3528Email: Erika.Flewellen@Mercy.NetAA/EEO/Minorities/Females/Disabled/Veterans Visit our ... an essential function of this job.,industry:Healthcare,title:NP Clinical Specialist - Cardiac Med Telemetry ... - Disease Management, Registered..

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..

... 60 market leader in integrated healthcare whose dream is to help ... experience and vitality of the associate community. Through offerings anchored in ... organization in the role of..

Description The Associate Director, Clinical Pharmacy monitors drug development pipeline, ... and medical literature, while providing clinical support for internal stakeholders. Utilizes ... and improve health outcomes. The Associate Director,..

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

Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ..

... Analytics is looking for an Associate Director of Data Science to lead ... future adverse health events. The Associate Director must be able to effectively ... business problems being..

Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical Director provides medical interpretation and determinations ... whether services provided by other healthcare professionals are..