THE LARGEST COLLECTION OF JOBS ON EARTH
Supports PDF, DOC, DOCX, TXT, XLS, WPD, HTM, HTML files up to 5 MB
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,..
... in the role of Associate Director, Neighborhood Center. Neighborhood Centers are ... retail setting, to include health education and improvement programs, clinical support, health screenings, customer service ... across..
Description The Medical Director actively uses their medical background, ... resources which may include national clinical guidelines, Humana contract language, Humana ... coverage policies and determinations, MCG, clinical reference materials,..
Job Information Humana Lead Product Manager - Healthcare API in Davenport Iowa Description The Lead Product Manager - Healthcare API (SME) as part of Humana's Enterprise API product team, is directly ..
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..
... access to medications and integrated clinical care for patients with short-term, ... for the newly-created role of Director, Humana Pharmacy Digital Experience Design, ... health care and technology. The..
... case acceptance and document alldemographic, clinical, payer and other information as ... and inform the Company location clinical staff (e.g. Intake Specialist, Director Clinical Management, and/or Manager Clinical Practice)..
Description The Associate Director, Operational Readiness ensures optimized interaction between a company and members through the development of predictable and sustainable readiness practices including continuous improvement methodologies that allow for rapid ..
... Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent ... this role you will: Complete..
Description The Senior Quality Improvement Professional will focus organizational efforts on improving South Carolina Medicaid clinical quality performance measures to achieve optimal performance and quality for the Humana Healthy Horizons in ..
... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Davenport ... on medical background and industry-standard clinical / coding guidance to ensure ... ensure physician and healthcare provider..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... resources which may include national clinical guidelines, Humana contract language, Humana ... and determinations, medical necessity criteria, clinical..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director will provide..
Job Information Humana Associate Director/Grievances and Appeals-Remote/Virtual in US in ... Davenport Iowa Description The Associate Director, Grievances & Appeals manages client ... a comprehensive analytic review of clinical documentation..
... and Risk Adjustment National Medical Director in Davenport Iowa Description The ... and 3) contribute as a clinical industry representative. As a leader, ... (PST) that drives national provider..
... Adjustment Integrity Unit (RAIU) Associate Director works collaboratively across the enterprise, ... values. Responsibilities The RAIU Associate Director is directly responsible for the ... and abuse, as well as..
... to the National Medicaid Quality Director, and be responsible for the ... in improving operational process and clinical care quality in an effort ... related issues, process improvement, and..
Job Information Humana Regional Pharmacy Sales, VP in Davenport Iowa Description Enclara, is a wholly owned hospice and palliative care pharmacy business acquired by Humana in 2021. Enclara is the nation's ..
Job Information Humana Director of Pharmaceutical Manufacturer Relations in ... in Davenport Iowa Description The Director, Pharmaceutical Manufacturer Relations ensures the ... health outcomes of patients. The Director, Pharmaceutical Manufacturer..
... monthly records of clients’. Submits clinical paperwork to the office on ... Notify physical therapist or Executive Director of any equipment failures, lack ... performing patient care activities. Accept..
... innovations, flexible medication access, one-on-one clinical support, and excellent customer service. ... customer service. Responsibilities Summary The Clinical Liaison is directly responsible for ... with their assigned client(s). The..