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... of Medical Directors who conduct clinical case reviews of the care received by members in an ... by members in an assigned market, member population, or condition type .....
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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..
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,..
... 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..
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..
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..
... 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 Clinical Pharmacy Advisor - Trend, is ... team that helps translate the clinical into financial. The goals is ... efforts through the collection of market data and..
... 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 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,..
... 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..
