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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..
... 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..
... 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..
... quality care to achieve positive clinical outcomes, and patient/family and employee ... NursingLead, guide and direct the clinical operations of the nursing units ... on assigned shift including ensuring..
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