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... Distribution Transformation The Healthcare Strategy team supports Humana's Retail business segment, ... businesses. With over 9 million medical members and $56B in 2019 ... analysis Work collaboratively with fellow..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities Job..
Description The Associate Director, Utilization Management Nursing utilizes clinical ... coordination, documentation and communication of medical services and/or benefit administration determinations. ... benefit administration determinations. The Associate Director, Utilization Management..
... the National Medicaid Clinical Operations team is expanding our shared services ... delivery process. The National Medicaid Director of Clinical Strategy and Practice ... community within the enterprise. The..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., ... new brand for a primary care medical group practice with centers open ... and Texas. CenterWell Senior Primary Care..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... of variable factors. Responsibilities..
... monitors drug development pipeline, and medical literature, while providing clinical support ... Utilizes broad understanding of managed care and PBM knowledge to develop, ... wholly owned hospice and palliative..
Description Humana's Enterprise Clinical Management team needs your clinical, business and ... The Clinical Analytics and Trend team uses advanced scientific techniques, data ... and improve the value of care..
... York Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., ... new brand for a primary care medical group practice with centers open ... and Texas. CenterWell Senior..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Profile..
Description The Medical Director actively uses their medical background, experience, and judgement to ... requested services, requested level of care, and/or requested site of service ... conferences, and other reference..
... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... appropriate criteria to make a medical necessity determination. This individual will ... identified members to assess their..
