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... Health) is seeking a Physician Leader to further our mission of ... advanced personalized solutions to our care systems. Join us and together ... on advanced profiling in cancer..
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... Admired Company in the Health Care Medical Facilities Industry by Fortune ... all aspects of environmental control, clinical staff, materials and equipment, and ... nursing services rendered to improve..
Physician Advisor, Utilization Management','Full-time','Hospitalist','Days','Days','80','80','Occasional','Occasional','COLORADO-ENGLEWOOD-DENVER INVERNESS','','!*!Job Summary: As the Utilization ... INVERNESS','','!*!Job Summary: As the Utilization Management physician advisor, the Physician Advisor ... the Physician Advisor (PA) conducts clinical case reviews..
... 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..
... 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..
... insights working within a Managed Care Plan. An operationally focused leader, you will be driving a ... cadence of analytics and performance management specifically across the National Duals .....
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..
Description Responsibilities The Associate Director Medical/Financial Risk Evaluation leads a few powerful teams dedicated to reducing waste and abuse in the health care industry and its impacts on Humana. These teams ..
... ntial Responsibilities Provide technical and clinical leadership during sales process by ... well as customer training Use market and product knowledge to assist ... Certification Minimum of 4 years..
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..
... 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..
... 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,..
Description The Senior Market Development Professional provides support to ... contract application submissions. The Senior Market Development Professional work assignments involve ... work at home anywhere The Clinical Senior Market..
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..
... 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 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,..
... Humana is seeking an experienced management professional to lead an interactive ... and providers. The Director, Pharmacy Clinical Formulary and Medical Strategies requires ... broad understanding of pharmacy, managed..
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..
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..
... (YHA) is a Humana-owned Healthcare Management Company dedicated to improving clinical and quality outcomes by bridging ... conducted by licensed and trained clinical practitioners who perform In-Home Wellness .....
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..
... 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..