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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, Health Services utilizes clinical nursing ... and/or benefit administration determinations. The Director, Health Services requires an in-depth ... or segment. Responsibilities The SC Medicaid Director, uses clinical..
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,..
... 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..
... and Risk Adjustment National Medical Director in Charlotte North Carolina Description ... 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..
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 Nationwide Associate Director, Utilization Management Nursing in Charlotte ... Charlotte North Carolina Description The Associate Director, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The..
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..
... for the region's Health Services Operations (HSO), including fiscal responsibility for ... necessity determination processes and Medical Director audit processes. . Provide oversight ... Assist with network development and..
... 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 Associate Director, Provider Data Interoperability in Charlotte North ... Charlotte North Carolina Description Humana's Provider Data and Medicaid Governance team is committed to ... risk mitigation in..
