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Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..
Job Information Humana Care Team Medical Director in Tulsa Oklahoma Description The Care Team Medical Director is responsible for improving the quality of care and outcomes while managing costs for a ..
Job Information Humana Medical Director - Florida Medicaid in Tulsa Oklahoma Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Job Information Humana Medical Director - National Medicare Team in Tulsa Oklahoma Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments ..
Job Information Humana Medical Director - S. Florida in Tulsa Oklahoma Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Tulsa Oklahoma Description Humana is looking for an experienced Healthcare Investigator to join its industry ..
Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and proactive individual to contribute to a high performing team that ..
Job Information Humana UM Medical Director - Conviva in Tulsa Oklahoma Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Description The Senior Market Consultation/Partnership Professional promotes and improves the quality and measurement of care delivery programs with a market(s). The Senior Market Consultation/Partnership Professional work assignments involve moderately complex to ..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Tulsa Oklahoma Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special Investigations ..
