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... and transformative business results. Hematology Clinical Nurse Consultant Roles & Responsibilities ... Roles & Responsibilities Each Hematology Clinical Nurse Consultant (CNC) has a ... Provider (APP) delivering direct patient..
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... (FPG) and Partners in Primary Care (PIPC), we want to help ... Medicare markets. Partners in Primary Care and FPG's national primary care centers serve more than 30,000 .....
... background to create and oversee clinical strategy for the region. The ... with fiscal responsibility for trend management. Oversee regional utilization management and case management for inpatient cases (acute..
... to grow, the National Medicaid Clinical Operations team is expanding our ... services organization to enhance the clinical delivery process. The National Medicaid ... The National Medicaid Director of..
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..
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..
... 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 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,..
... 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 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,..
... 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..
... 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..
... oversee our behavioral health (BH) clinical program for Louisiana Medicaid plan ... the day-to-day administration and strategic management of behavioral and physical health ... physical health services, including utilization..
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..
... 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 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..
... 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 Strategy and Practice Professional builds ... strategies for development, engagement, best clinical practices and processes for clinical community within the enterprise The ... within the enterprise..
... 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 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..