Clinical Strategy Manager Utilization Management Jobs in Massachusetts

... to the Vice President, Medical Management Operations and serves as a ... functions related to HGB's Care Management programs to include predictive models, ... and corresponding support. Also leads..

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 Clinical Pharmacy Lead monitors drug development ... and medical literature, while providing clinical support for internal stakeholders. Utilizes ... and improve health outcomes. The Clinical Pharmacy Lead works..

... with questions and mentoring of clinical staff Reviews and resolves escalated ... Reviews inventory reports and assists management with data tracking to identify ... reviews for requested services using..

... Associate Vice President, Behavioral Health Strategy. In this role, you will ... for evolving Humana's behavioral health strategy, with a focus on our ... across the enterprise (e.g., with..

Description The Senior Workforce Management Professional applies and integrates advanced ... staffing, learning and development, talent management, diversity and human resource compliance). ... resource compliance). The Senior Workforce Management Professional..

Description The Lead Product Manager - Oncology leads or coordinates ... customer use. The Lead Product Manager - Oncology works on problems ... seniors. As the Lead Product Manager -..

... resources which may include national clinical guidelines, Humana contract language, Humana ... and determinations, medical necessity criteria, clinical reference materials, internal teaching conferences, ... standards. Begins to influence department's..

Description The Lead Product Manager - leads or coordinates cross-functional ... customer use. The Lead Product Manager works on problems of diverse ... seniors. As the Lead Product Manager you..

Job Information Humana Lead Product Manager - Healthcare API in Boston ... Massachusetts Description The Lead Product Manager - Healthcare API (SME) as ... and accountability in the overall strategy..

... Associate Vice President, Behavioral Health Strategy. In this role, you will ... for evolving Humana's behavioral health strategy, with a focus on our ... across the enterprise (e.g., with..

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..

... responsible for behavioral health care strategy and/or operations. The Behavioral Health ... Health Medical Director will provide clinical oversight to Behavioral Health (BH) ... Behavioral Health (BH) administrative and..

... standards. Begins to influence department's strategy. Makes decisions on moderately complex ... with 5 years of established clinical experience Knowledge of the managed ... leading teams focusing on quality..

Job Information Humana Senior Product Manager - Clinical Strategy and Analytics in Boston Massachusetts ... for a dynamic Senior Product Manager to develop clinical solutions for our members and .....

... nation's largest full-service pharmacy benefits manager (PBM) specifically for the hospice ... innovations, flexible medication access, one-on-one clinical support, and excellent customer service. ... excellent customer service. The Account..

... Health Medical Director will provide clinical oversight to Behavioral Health (BH) ... Behavioral Health (BH) administrative and clinical programs for TRICARE beneficiaries. They ... the day-to-day administration and strategic..

Job Information Humana Clinical Strategy Manager - Utilization Management in Boston Massachusetts Description The ... in Boston Massachusetts Description The Clinical Strategy & Analytics team is a ... value to..

Description The Lead Product Manager - Oncology leads or coordinates ... customer use. The Lead Product Manager - Oncology works on problems ... seniors. As the Lead Product Manager -..

Description The Associate Director, Product Management is accountable for Humana's Care ... is accountable for Humana's Care Management technology portfolio, specifically for Salesforce ... Responsibilities The Associate Director, Product Management:..

... Information Humana Director, Behavioral Health Strategy in Boston Massachusetts Description The ... Develop strategic initiatives for overseeing clinical integrity, especially for utilization and case management activities. This includes developing..

... standards. Begins to influence department's strategy. Makes decisions on moderately complex ... leading teams focusing on quality management, utilization management, discharge planning and/or home health ... Preferred Qualifications Experience..

Job Information Humana Associate VP, Clinical Pharmacy (Remote) in Boston Massachusetts ... Massachusetts Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, ... and medical literature, while providing clinical..