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... Group Sales teams and Local Market Sales leadership as well as ... Group Product solutions. As a leader in the Product organization, you ... teams and agents/brokers to understand..
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... 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..
... (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 .....
... populations get new kinds of care in new ways. Deloitte’s Health ... and present of the health care industry—and we collaborate with clients ... shift from volume-based to value-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..
... 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..
... 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 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 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 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..
... Health Services for National Medicaid Clinical Operations utilizes clinical skills to support the coordination, ... to grow, the National Medicaid Clinical Operations team is expanding our ... services organization..
... 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 .....
... Medical Officer. You're immersed in market-based, core experiences where you can ... solutions to problems you really care about. Responsibilities Role: Office of ... role in healthcare Population Health..
... Customer Strategy - Healthcare Health Care Focuses on assisting those organizations ... the delivery, funding and payment management of health care and medical related services. Clients ... home health..
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..
... 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..
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..
... 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 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 ..
... 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 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..
... 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..
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,..
