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... relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract ... work at home anywhere The Clinical Senior Market Development Professional serves ... be limited to: Evaluation of..
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Description The Process Improvement Lead analyzes, and measures the effectiveness ... process improvements. The Process Improvement Lead works on problems of diverse ... Responsibilities The successful Process Improvement Lead will..
... Senior Market/Industry Insights Professional delivers clinical/medical policy insight and information to ... policy in order to complement clinical, cost and quality strategies. Meets ... other provider organizations to address..
Description Humana Special Needs Plans provide personalized guidance and resources to help members get the right care and information based on their specific condition or needs. Beneficiaries qualify with the following ..
Description The Medicaid Clinical Strategy Lead delivers new clinical technological solutions to meet Medicaid ... to enterprise objectives. The Medicaid Clinical Strategy Lead works on problems of diverse ... to..
Description Responsibilities The Senior Clinical Insights Professional delivers clinical policy insight and information to ... Government Business (HGB). The Senior Clinical Insights Professional will draft and ... will draft and..
... they make and help them lead their best lives. We are ... are interested in using their clinical and analytical skills to help ... the healthcare industry. As a..
Description The Senior Clinical Pharmacy Advisor - Trend, is ... team that helps translate the clinical into financial. The goals is ... Responsibilities include the following: Provide clinical and analytical..
... resources which may include national clinical guidelines, Humana contract language, Humana ... coverage policies and determinations, MCG, clinical reference materials, internal teaching conferences, ... computer-based review of moderately complex..
... people everywhere, including our associates, lead their best lives. We support ... we serve, including our associates, lead their best lives. We support ... to obtain desired productivity and..
Description The Lead Product Manager Conceives of, develops, ... products for customer use. The Lead Product Manager works on problems ... for seniors. As a OmniCare Clinical Care Product Management..
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..
... Health Services for National Medicaid Clinical Operations utilizes clinical skills to support the coordination, ... to grow, the National Medicaid Clinical Operations team is expanding our shared ... services..
... Director of Product Management for Clinical Pharmacy Products develops and evaluates ... Director of Product Management for Clinical Pharmacy Products, you will be ... development of strategic, high-performing transformational..
... Director, Utilization Management Nursing utilizes clinical nursing skills to support the ... to grow, the National Medicaid Clinical Operations team is expanding our shared ... services organization to enhance..
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..
... Manager, Utilization Management Nursing utilizes clinical nursing skills to support the ... Manager, Utilization Management Nursing uses clinical knowledge, communication skills, and independent ... to resources, approach, and tactical..
Description The Senior Product Manager - Fully Insured supports strategy development, delivery, and management of the 100 medical insured portfolio for the Employer Group business. Responsibilities The Senior Product Manager supports ..
Description Responsibilities This role within the Autism Care Demonstration (ACD) Team, will work closely with Care Management leaders and Subject Matter Experts in the areas of Case Management, Utilization Management and ..
... patient care while maintaining cost-effective clinical operations in accordance with all legal, ... and administrative policies as the clinical leader, has the authority to ... and regulations. Ensures all..
... to grow, the National Medicaid Clinical Operations team is expanding our shared ... services organization to enhance the clinical delivery process. The Associate Director, ... problems within department(s), and..
Description The Lead Product Manager for Specialty products ... marketplace. Responsibilities Position Overview The Lead Product Manager Leads all phases ... outcomes. Once products are launched, Lead monitors efficacy of..
... The ACD Referral Authorization Coordinator Lead role will assist the Supervisor ... Care Demonstration (ACD). Under direct clinical supervision, process referrals from Military ... require evaluation or interpretation of..
