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Description The Clinical Strategy & Practice Lead will ... oversee our behavioral health (BH) clinical program for Oklahoma's Medicaid plan ... the day-to-day administration and strategic management of behavioral and..
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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 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 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..
... 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,..
... 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..
... 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 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..
... 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..
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 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..
... 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..
... 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..
... 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..
