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Description The Senior Clinical Business Professional manages all aspects ... and within budget. The Senior Clinical Business Professional work assignments involve ... variable factors. Responsibilities The Senior Clinical Business Professional..
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... teams from the HCS Transformation Management Office, the Chief Medical Organization, ... and across the Company. The Clinical Business Process Improvement Consultant defines ... to optimize teams within Health..
... background to create and oversee clinical strategy for the Group Medicare ... GM business. Work with local market utilization management and case management teams for inpatient cases. Participate .....
Job Information Humana Care Team Medical Director in Anchorage ... in Anchorage Alaska Description The Care Team Medical Director is responsible ... for improving the quality of care and outcomes..
... requested services, requested level of care, and/or requested site of service ... resources, which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations,..
Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to ... healthcare challenges of today. The Clinical Analytics and Trend team uses ... techniques, data analysis,..
... Humana Nationwide Associate Director, Utilization Management Nursing in Anchorage Alaska Description ... Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the ... determinations. The..
... a $90 billion (Fortune 40) market leader in integrated healthcare with a ... are seeking an accomplished healthcare leader for the newly-created role of ... will be a key..
... calling a Registered Nurse (RN) Clinical Manager (5 North Medical Oncology, ... our Mission to provide compassionate care that is accessible for all ... and other services. Utilizes staffing..
Description The Senior Clinical Pharmacy Advisor - Trend, is ... team that helps translate the clinical into financial. The goals is ... efforts through the collection of market data and..
... resources which may include national clinical guidelines, Humana contract language, Humana ... and determinations, medical necessity criteria, clinical reference materials, internal teaching conferences, ... of moderately to highly complex..
Description The Remote Systems Clinical Pharmacist will provide excellent customer ... maintaining relationships with Account / Clinical Management and PCO-IPU Operations teams. Responsibilities ... to the following: Account / Clinical..
... requested services, requested level of care, and/or requested site of service ... resources which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations,..
Job Information Humana Manager, Utilization Management RN - Remote in Anchorage ... Alaska Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the ... administration determinations. The..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Anchorage ... Humana is seeking an experienced management professional to lead an interactive ... team that helps translate the clinical..
Description The Senior Pharmacy Clinical Advisor requires a broad understanding ... broad understanding of pharmacy, managed care, PBM, market and regulatory insights to develop, ... health outcomes. The Senior Pharmacy..
... Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... to grow, the National Medicaid Clinical Operations team is expanding our ... services organization to enhance the..
Job Information Humana Utilization Management Registered Nurse - Remote in ... Anchorage Alaska Description The Utilization Management Nurse utilizes clinical nursing skills to support the ... benefit administration determinations. The..
Description The Clinical Pharmacy Advisor lead, overseeing Humana ... team that helps translate the clinical into financial. The goals is ... Utilize broad understanding of managed care to develop strategies..
Job Information Humana Clinical Pharmacy Lead, Remote in Anchorage ... team that helps translate the clinical into financial to ensure Humana ... to inform the financial and clinical significance of..