Clinical Strategy Manager Utilization Management Jobs in Pittsburgh

... The Director, Health Services utilizes clinical nursing skills to support the ... The Director, Health Services uses clinical knowledge, communication skills, and independent ... performance. Provides input into functions..

... 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 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 Associate VP, Clinical Pharmacy (Remote) in Pittsburgh Pennsylvania ... Pennsylvania Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, ... and medical literature, while providing clinical..

... Overview Job Title: Telephonic Case Manager Company: CorVel Corporation Category: Claims, ... Tweets by @CorVelCorp Telephonic Case Manager Mechanicsburg, PA 17055 JOB SUMMARY: ... JOB SUMMARY: The Telephonic Case..

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:..

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 -..

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

... team as Associate Vice President, Utilization Management. The associate will play an ... role in proliferating Humana's proprietary utilization management model(s), specific to homecare services, ... homecare services, and..

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

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

... SUMMARY This job implements effective utilization management strategies including: review of appropriateness ... criteria to assure appropriate resource utilization, identification of opportunities for referral ... referral to a Health..

... 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..

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..

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..

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 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..

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

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..