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Description The Market Medical Officer, Commercial will provide ... role will support business line clinical management goals as well as provide ... and government sectors. Responsibilities Role: Market Medical Officer,..
... The Your Home Advantage (YHA) Market Clinical Manager (MCM) will lead a ... In-Home Wellness Assessments (IHWA). The Market Clinical Manager provides leadership, clinical management and administrative oversight in..
... 50 years as a proven leader and innovator in the health ... self-employed individuals. Humana has a market leading Medicare Advantage and Medicare ... in developing a robust integrated..
... Humana is a Fortune 60 market leader in integrated healthcare with a ... for seniors. As a OmniCare Clinical Care Product Management Lead focused on Medicare, Medicaid ... coordinating..
... requested services, requested level of care, and/or requested site of service ... resources which may include national clinical guidelines, Humana contract language, Humana ... coverage policies and determinations, MCG,..
... The Director, Health Services utilizes clinical nursing skills to support the ... The SC Medicaid Director, uses clinical knowledge, communication skills, and independent ... best and most appropriate treatment,..
... a $77 billion (Fortune 41) market leader in integrated healthcare with a ... are seeking an experienced healthcare leader to join our team as ... health outcomes and advancing..
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,..
Description The Senior Clinical Business Professional is a clinical partner to the Commercial Product ... Product Strategy team. The Senior Clinical Business Professional work assignments involve ... at home anywhere..
... whose purpose is to provide care management program support resources to physicians, ... careers. At Partners in Primary Care, we're seeking innovative people who ... whole. Responsibilities CenterWell Senior..
... an exciting opportunity to provide clinical leadership in Humana's Retail Organization ... three key areas: Provider Relations, Clinical Outcomes, and Medical Cost Trend. ... Trend. Responsibilities Serve as the..
Description The Senior Clinical Strategy and Practice Professional builds ... strategies for development, engagement, best clinical practices and processes for clinical community within the enterprise The ... within the enterprise..
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..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the ... determinations. The Associate Director, Utilization Management Nursing requires a solid understanding ... to grow, the..
... and coding, organizational capabilities and clinical care delivery. Responsibilities The Associate Director, ... ensures timeliness and production of clinical coding team, reviews escalation cases ... cases and oversees audits..
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..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the ... administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... goals. Responsibilities The Manager,..
Description The Director of Product Management for Clinical Pharmacy Products develops and evaluates ... As the Director of Product Management for Clinical Pharmacy Products, you will be ... Humana's Pharmacy-based..
... 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..
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..
