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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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Job Information Humana Care Coordinator - CenterWell - Houston, ... fully. At CenterWell Senior Primary Care, previously known as Partners in ... known as Partners in Primary Care, a subsidiary..
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,..
... 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..
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..
... Humana Nationwide Associate Director, Utilization Management Nursing in San Antonio Texas ... Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the ... determinations. The..
Description The Care Management Liaison (CML) Nurse will oversee ... courses of action. Responsibilities The Care Management Liaison (CML) registerednurse (R.N.) will ... associate will support a Multiservice Market (eMSM)..
... Director, Behavioral Health Network & Market Strategy (Medicaid) in San Antonio ... Behavioral Health (BH) Network and Market Strategy will insure that the ... providers are engaged and recommend..
... 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,..
... 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..
... 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,..
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 Utilization Management Registered Nurse - Remote in ... Antonio Texas Description The Utilization Management Nurse utilizes clinical nursing skills to support the ... benefit administration 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..
... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in San ... on medical background and industry-standard clinical / coding guidance to ensure ... MD, Stars and Risk Adjustment..
Job Information Humana Manager, Utilization Management RN - Remote in San ... Texas Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the ... administration determinations. The..
... their health partners. Humana's Enterprise Clinical Operating Model (ECOM), is a ... outcomes through better integrating Humana's clinical capabilities, processes, and technology. This ... across Humana Responsibilities The Director,..
Job Information Humana Care Team Medical Director in San ... San Antonio Texas Description The Care Team Medical Director is responsible ... for improving the quality of care and outcomes..
... 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..
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..
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..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in San ... Humana is seeking an experienced management professional to lead an interactive ... team that helps translate the clinical..
