Clinical Strategy Manager Utilization Management Jobs

... 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..

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,..

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

... standards. Begins to influence department's strategy. Makes decisions on moderately complex ... assignments. Required 5 years of clinical experience A current and unrestricted ... with 5 years of established..

... resources which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, ... of moderately complex to complex..

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..

... standards. Begins to influence department's strategy. Makes decisions on moderately complex ... degree 5 years of direct clinical patient care experience post residency ... in teams focusing on quality..

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 Jersey City New Jersey ... Develop strategic initiatives for overseeing clinical integrity, especially for utilization and case management activities. This includes developing..

... 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..

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..

Description The Managing Clinical Pharmacist within the Pharmacy Claim ... and medical literature, while providing clinical and audit support for internal ... mitigate cost trend. The Managing Clinical Pharmacist -..

... 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 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 Clinical Strategy Manager - Utilization Management in Jersey City New Jersey ... City New Jersey Description The Clinical Strategy & Analytics team is a ... value to..

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

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 -..

Job Information Humana Lead Product Manager - Healthcare API in Jersey ... Jersey 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..

... 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..

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 -..