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... 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..
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..
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... 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,..
Description The Director, Pharmacy Clinical Pipeline oversees the medical and ... supports financial sales analysis and market event news. This position will ... leaders across the Humana enterprise, clinical subject..
Job Information Humana Care Team Medical Director in Metairie ... in Metairie Louisiana Description The Care Team Medical Director is responsible ... for improving the quality of care and outcomes..
... a $90 billion (Fortune 40) market leader in integrated healthcare with a ... are seeking an experienced healthcare leader to join our team as ... as Associate Vice President,..
... requested services, requested level of care, and/or requested site of service ... resources, which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations,..
Description The Senior Pharmacy Clinical Advisor requires a broad understanding ... broad understanding of pharmacy, managed care, PBM, market and regulatory insights to develop, ... health outcomes. The Senior Pharmacy..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Metairie ... Humana is seeking an experienced management professional to lead an interactive ... team that helps translate the clinical..
... Humana Nationwide Associate Director, Utilization Management Nursing in Metairie Louisiana Description ... Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the ... determinations. The..
... 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..
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..
... they can provide the best care experience to our members, which ... audience (i.e. Population Health, Retail, Clinical, Pharmacy and Home Health) to ... to view Humana as a..
Description The Remote Systems Clinical Pharmacist will provide excellent customer ... maintaining relationships with Account / Clinical Management and PCO-IPU Operations teams. Responsibilities ... to the following: Account / Clinical..
... 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 Senior Clinical Business Professional assists in the ... and stabilization strategy of all Care Management program activities in all existing, ... programs related to, nurse case management, integrated..
... Medical Director of Long Term Care, Florida in Metairie Louisiana Description ... Louisiana Description The Long Term Care Medical Director supports the Long ... Director supports the Long Term..
Job Information Humana Manager, Utilization Management RN - Remote in Metairie ... Louisiana Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the ... administration determinations. The..
... Director, Behavioral Health Network & Market Strategy (Medicaid) in Metairie Louisiana ... Behavioral Health (BH) Network and Market Strategy will insure that the ... providers are engaged and recommend..
... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Metairie ... on medical background and industry-standard clinical / coding guidance to ensure ... MD, Stars and Risk Adjustment..
... as a member of the care team within the physician practice. ... to ensure optimal, cost effective care delivery, improve health outcomes and ... as a member of the..
Job Information Humana Utilization Management Registered Nurse - Remote in ... Metairie Louisiana Description The Utilization Management Nurse utilizes clinical nursing skills to support the ... benefit administration determinations. The..
