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Description The Clinical Strategy & Practice Lead will oversee our behavioral health ... oversee our behavioral health (BH) clinical program for Oklahoma's Medicaid plan ... and value-based payment programs. The..
... and medical literature, while providing clinical support for internal stakeholders. Utilizes ... will be responsible for the operations of all pharmacy-related activities for ... and medical literature, while providing..
... 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..
Job Information Humana Senior Product Management Professional / Release Train Engineer in Tulsa Oklahoma Description The Senior Product Management Professional / Release Train Engineer must be able to lead, plan and ..
... 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 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..
... interaction with beneficiaries to address clinical conditions identified through Predictive Analytics ... medical care and achieve desired clinical outcomes. As part of the ... for all activities within the..
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 ..
... background to create and oversee clinical strategy for the region. The ... strategy for the Health Services Operations with fiscal responsibility for trend ... and procedures. *Participate in Quality..
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 ..
... 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 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..
... 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..
... trained to act as a clinical concierge. The NAL Telephonic Nurse ... least 3 -5 years of clinical experience; preferably in an acute ... working from home Health plan..
Description Humana is a Fortune 60 healthcare company with a history of successful innovation and reinvention, with over 50 years as a proven leader and innovator in the health and wellness ..
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..
... 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..
... health care and achieve desired clinical outcomes. As part of the ... for all activities within the clinical spectrum. This will include coordination ... accordance with the URAC, TRICARE..
... to grow, the National Medicaid Clinical Operations team is expanding our shared ... services organization to enhance the clinical delivery process. The National Medicaid ... The National Medicaid Director..
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..
... 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..
... 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..
