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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 ... across department(s). Responsibilities As Humana's Medicaid membership..
Description The Director, Market Development provides support to ... and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract ... federal contract application submissions. The Director,..
Description The Medical Director actively uses their medical background, ... work. Responsibilities Title: Commercial Medical Director Location: Work At Home - ... weeks. Job Summary The Medical Director's work includes..
... an AVP to lead its Provider Support team and associate's responsibilities. HQRI is an organization ... Stars and Risk Adjustment Strategy, operations, and performance nationally. The Associate VP for..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Birmingham ... in Birmingham Alabama Description The Associate Director, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
... The Lead Behavioral Health Medical Director oversees the work of 2 ... The Lead Behavioral Health Medical Director may also lead specific functional ... Directors. Responsibilities The Lead Medical..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... Medical Directors will learn Medicare, Medicaid, and Commercial requirements and will ... daily work. Responsibilities The Medical Director..
Job Information Humana Medical Director of Long Term Care, Florida ... The Long Term Care Medical Director supports the Long Term Care ... contractual requirement. Responsibilities The Medical Director provides..
Job Information Humana Associate Director, Provider Data Interoperability in Birmingham Alabama ... in Birmingham Alabama Description Humana's Provider Data and Medicaid Governance team is committed to ... risk mitigation in..
... and Risk Adjustment National Medical Director in Birmingham Alabama Description The ... to Humana's national planning and operations for Risk Adjustment, Stars, and ... 1) inform and support HQRI's..
Description The Senior Project Manager, Medicaid Provider & Network Implementation (remote) is ... accountable for working with the Director, Provider & Network Implementation to assist ... driving efficient management of..
... lifelong well-being by giving our associate fresh perspective, new insights, and ... Responsibilities As a Regional Medical Director you will plan, organize, manage ... and center needs. Oversee daily..
