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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..
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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,..
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..
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..
... members across the following state Medicaid programs: BadgerCare Plus, SSI, and ... will work side-by-side with the Medicaid COO and team to ensure ... is meeting or exceeding corporate..
... 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 Director, Population Health Strategy in Waukesha ... in Waukesha Wisconsin Description The Director, Population Health Strategy is responsible ... defined group of people. The Director, Population Health..
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..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Green ... Green Bay Wisconsin Description The Associate Director, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The..
Job Information Humana Director, Population Health Strategy in Green ... Green Bay Wisconsin Description The Director, Population Health Strategy is responsible ... defined group of people. The Director, Population Health..
Job Information Humana Associate Director, Provider Data Interoperability in Milwaukee Wisconsin ... in Milwaukee Wisconsin Description Humana's Provider Data and Medicaid Governance team is committed to ... risk mitigation in..
... 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..
Job Information Humana Associate Director, Provider Data Interoperability in Green Bay ... Green Bay Wisconsin Description Humana's Provider Data and Medicaid Governance team is committed to ... risk mitigation in..
... and Risk Adjustment National Medical Director in Green Bay Wisconsin Description ... to Humana's national planning and operations for Risk Adjustment, Stars, and ... 1) inform and support HQRI's..