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Description Humana's Enterprise Clinical Management (ECM) organization is seeking a ... organization is seeking a Director, Clinical Trend. As a clinical trend leader you will work ... partners in retail..
Description The Vendor Management Lead works as liaison between ... vendors and organization. The Vendor Management Lead works on problems of ... state work from home. The Utilization Management (UM)..
... Humana is seeking an experienced management professional to lead an interactive ... and providers. The Director, Pharmacy Clinical Formulary and Medical Strategies requires ... specialty to develop and/or implement..
... 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..
... responsible for: Developing and driving strategy and framework for analytics and ... opportunities to employ an equity strategy to improve clinical and utilization outcomes, to include: Expanding the .....
... Professional will support development of strategy and lead execution of utilization strategy, including assignment of providers to ... on hours needed. Will provide non-clinical support for providers acting as..
... 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..
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 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..
... (YHA) is a Humana-owned Healthcare Management Company dedicated to improving clinical and quality outcomes by bridging ... conducted by licensed and trained clinical practitioners who perform In-Home Wellness .....
... 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 ... services organization..
... 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..
... standards. Begins to influence department's strategy. Makes decisions on moderately complex ... guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) ... degree 5 years of direct..
... key areas of health plan management. This role has P&L responsibility ... The successful leader will oversee Strategy, Clinical Model of Care, Process Improvement, ... Model of Care, Process..
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 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 Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... action. Responsibilities The RN Care Manager, Telephonic Nurse..
... exempt position with responsibility for utilization management oversight and clinical decision-making as outlined in the ... section 4. Responsibilities The UM Manager will lead a team of ... Certified..
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..
... background to create and oversee clinical strategy for the state of Florida. ... plan, in collaboration with Enterprise Clinical Services and other key Humana ... key Humana stakeholders, focus..
... will work closely with Care Management leaders and Subject Matter Experts ... in the areas of Case Management, Utilization Management and Care Management Support as well as other .....
