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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 As the Director, Sales Product -Employer Group you ... You will consult with sales team members and stakeholders to match ... to meet you. Responsibilities The Director, Sales Product..
... professional to lead an interactive team with broad exposure and scope ... drug manufacturers and providers. The Director, Pharmacy Clinical Formulary and Medical Strategies requires a broad understanding .....
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..
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 Responsibilities The Associate Director Medical/Financial Risk Evaluation leads a few ... and abuse in the health care industry and its impacts on ... that report to this Associate director..
... 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 Director of Health Services for National ... coordination, documentation and communication of medical services and/or benefit administration determinations. ... and/or benefit administration determinations. The Director, Health Services requires..
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..
... sent to the member's primary care provider to be included in ... be included in the patient medical records and support the provider ... the provider in providing comprehensive..
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 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..
... 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..
... 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..
