Associate Director Provider Medicaid Operations Jobs in Pennsylvania

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..

Job Information Humana Associate Director, Provider Data Interoperability in Pittsburgh Pennsylvania ... in Pittsburgh Pennsylvania Description Humana's Provider Data and Medicaid Governance team is committed to ... risk mitigation in..

... and Risk Adjustment National Medical Director in Pittsburgh Pennsylvania 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 Philadelphia Pennsylvania ... in Philadelphia Pennsylvania Description Humana's Provider Data and Medicaid Governance team is committed to ... risk mitigation in..

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..

... 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 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..

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 Pittsburgh ... in Pittsburgh Pennsylvania Description The Associate Director, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The..