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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 ..
... 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..
... oversee our behavioral health (BH) clinical program for Oklahoma Medicaid plan ... closely with the Chief Medical Officer (CMO) to integrate the day-to-day ... Functions and Responsibilities Lead major..
Job Information Humana VP, Clinical Operations in Tulsa Oklahoma Description ... in Tulsa Oklahoma Description VP, Clinical Operations and Chief Clinical Officer of Kindred at Home, you ... vision of..
... 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..
... 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..