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Description The Director, Group Market Operations partners with the assigned Group Market Presidents on cost of care and profitable growth management, risk management and operations. The Market Operations Director requires an ..
... by other healthcare professionals in compliance with approved policies, procedures, and ... Medical Director serves as a clinical resource for the LTC program ... care team rounds and provides..
... 2 Medical Directors who conduct clinical case reviews of the care ... Medical Director for the Humana Clinical Operations Behavioral Division is looking ... by other healthcare professionals in..
... and value, while also managing compliance with network requirements, including network ... alignment to financial, operational and clinical goals Participate and contribute to ... proactively identify network issues, ensure..
... will work closely with the clinical education and market implementation teams ... also need to incorporate EMR, compliance, primary care policy and procedure, ... Subject Matter Expert (SME) on..
... will work closely with the clinical education and market implementation teams ... also need to incorporate EMR, compliance, primary care policy and procedure, ... Work collaboratively with implementation teams,..
... team. This position reviews the clinical appropriateness of prior authorization (PA) ... reviews for requested services using clinical judgement and works with the ... works with the Chief Medical..
Genesis is a leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how care is delivered ..
Job Information Humana VP, Clinical Operations in Albany New York ... Albany New York Description VP, Clinical Operations and Chief Clinical Officer of Kindred at Home, you ... vision of..
