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... plan design, vendor evaluation and management, pricing and funding strategies, data ... data analytics, valuation support, legal compliance and governance strategies. We also ... Specialty consulting services including clinical/health..
Description The Director, Actuarial Pricing is responsible for ... standard and custom benefits. The Director, Actuarial Pricing requires an in-depth ... help shape Humana Strategy. This Director will lead a..
Description The Director, Actuarial Analytics/Forecasting analyzes and forecasts ... financial and competitive position. The Director, Actuarial Analytics/Forecasting requires an in-depth ... or segment. Responsibilities As the Director of Part D..
... Responsibilities Key Responsibilities Leverage product management expertise to create simple, personalized ... Humana's 8M Medicare, Medicaid and Pharmacy members Simplify and personalize the ... a role focusing on product..
... The Lead Behavioral Health Medical Director oversees the work of 2 ... The Lead Behavioral Health Medical Director may also lead specific functional ... Directors. Responsibilities The Lead Medical..
Company Name: Kroger Specialty Pharmacy Position Type: Employee FLSA Status: ... results, in collaboration with sales director *Prepare and submit periodic sales ... sales training associates to ensure compliance in..
... patient quality outcomes. Performs care management functions on-site or telephonically as ... Reports findings to the Care Management department Supervisor / Manager / ... department Supervisor / Manager /..
... quality of patient care Ensure compliance of state requirements and licensure ... including understanding of CLIA requirements, pharmacy requirements, and DEA anesthesia regulations ... equipment Ensure proper medical records..
Description The Behavioral Health Medical Director responsible for behavioral health care ... operations. The Behavioral Health Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Torrance California Description ... Torrance California Description The Medical Director relies on clinical background and ... Medicare drug requests. The..
... members, providers, agents, clinical, care management, pharmacy, and other units. Accessibility and ... high business acumen, digital product management skills and understands how to ... launch, provider find care,..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... within a context of regulatory compliance, and work is assisted by ... daily work. Responsibilities The Medical Director..
Description The Director, Workforce Management applies and integrates advanced and ... staffing, learning and development, talent management, diversity and human resource compliance). The Director, Workforce Management requires an in-depth understanding..
Description The Medical Director's primary responsibility is the review ... level of care. The Medical Director's work assignments involve moderately complex ... of health. Responsibilities The Medical Director actively uses..
... risk assessment, and Amgen Quality Management Systems.Amgen offers the opportunity to ... programs, and providing indirect staff management and guidance to members of ... product impacting non-conformancesExperience in Project..
... and will provide patient care management across the health care continuum ... NP reports to the Executive Director, Womens & Childrens Services, and ... supervising physician with consults and..
Description The Medical Director actively uses their medical background, ... within a context of regulatory compliance, and work is assisted by ... work. Responsibilities Title: Commercial Medical Director Location: Work..
