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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..
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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..
... 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,..
... 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,..
... point of contact for patient care, in a virtual-first clinic, with ... in the EHR, and data management. In addition, the Virtual Clinic ... to lead efforts in project..
... 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..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Lancaster ... Humana is seeking an experienced management professional to lead an interactive ... team that helps translate the clinical..
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..
... 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 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..
... 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..
... Humana Nationwide Associate Director, Utilization Management Nursing in Lancaster South Carolina ... Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the ... 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,..
... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Lancaster ... on medical background and industry-standard clinical / coding guidance to ensure ... MD, Stars and Risk Adjustment..
... 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,..
... Medical Director of Long Term Care, Florida in Lancaster South Carolina ... Carolina Description The Long Term Care Medical Director supports the Long ... Director supports the Long Term..
Job Information Humana Care Team Medical Director in Lancaster ... Lancaster South Carolina Description The Care Team Medical Director is responsible ... for improving the quality of care and outcomes..
Job Information Humana Manager, Utilization Management RN - Remote in Lancaster ... Carolina Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the ... administration determinations. The..
... Director, Behavioral Health Network & Market Strategy (Medicaid) in Lancaster South ... Behavioral Health (BH) Network and Market Strategy will insure that the ... providers are engaged and recommend..
Description Responsibilities The Market Development Advisor oversees the implementation ... the HCOs. Responsible for network management to include network adequacy, access ... include network adequacy, access to care standards, provider..
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..
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..
