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... transform, and distribute Medicare and Medicaid product data to better serve ... individuals through our Medicare and Medicaid businesses. Those businesses comprise our ... transform, and distribute Medicare and..
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..
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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,..
... also be accountable for adjustments, provider database, provider service and member service for ... programs and the coordination of operations expenses. ntDevelop and ensure the ... of 9 years..
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..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Boston ... in Boston Massachusetts Description The Associate Director, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The..
... 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..
... and Risk Adjustment National Medical Director in Boston Massachusetts Description The ... to Humana's national planning and operations for Risk Adjustment, Stars, and ... 1) inform and support HQRI's..
Job Information Humana Associate Director, Provider Data Interoperability in Boston Massachusetts ... in Boston Massachusetts Description Humana's Provider Data and Medicaid Governance team is committed to ... risk mitigation in..
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..
... 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 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..
