Care Team Medical Director Jobs in Riverton

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..

Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Riverton ... Riverton Wyoming Description The Associate Director, Utilization Management Nursing utilizes clinical ... coordination, documentation and communication of medical..

... to the National Medicaid Quality Director, and be responsible for the ... improving operational process and clinical care quality in an effort to ... health outcomes. Establish and improve..

Description The Medical Director relies on fundamentals of CMS ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... a rotating basis Responsibilities The..

Description The Medical Director relies on fundamentals of CMS ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... East Coast hours. Responsibilities The..

Job Information Humana Director of Public Policy in Riverton ... in Riverton Wyoming Description The Director of Public Policy role resides ... Humana's federal policy and advocacy team. The person..

Job Information Humana Director, Behavioral Health Strategy in Riverton ... in Riverton Wyoming Description The Director, Behavioral Health (DBH) will ensure ... Horizons have access to quality care for their..

Job Information Humana Associate Director, Site Reliability Engineering in Riverton ... Riverton Wyoming Description The Associate Director, Site Reliability Engineering maintains, integrates ... within the organization. The Associate Director, Site..

Job Information Humana Oncology Market Director in Riverton Wyoming Description The ... Riverton Wyoming Description The Market Director, Oncology leverages targeted geographic analysis, ... Pharmacy for fulfillment. The Market Director,..

Description The Director, Clinical Pharmacy Drug Evaluation and ... manufacturers and providers. Responsibilities The Director, Clinical Pharmacy Drug Evaluation and ... broad understanding of pharmacy, managed care, and specialty to..

Description The Medical Director relies on fundamentals of CMS ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... Saturday and Sunday. Responsibilities The..

Description The Lead Behavioral Health Medical Director oversees the work of 2 ... oversees the work of 2 Medical Directors who conduct clinical case ... clinical case reviews of the..

... coordination, documentation and communication of medical services and/or benefit administration determinations. ... best and most appropriate treatment, care or services for members. Utilization ... will collaborate with other health..