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Description The Director, Pharmaceutical Manufacturer Relations ensures the ... health outcomes of patients. The Director, Pharmaceutical Manufacturer Relations requires an ... function or segment. Responsibilities The Director of Pharmaceutical Manufacturer..
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 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..
... 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 Lead Product Manager - Healthcare API in Dover Delaware Description The Lead Product Manager - Healthcare API (SME) as part of Humana's Enterprise API product team, is directly ..
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 ..
... 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..
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 ..
Job Information Humana Associate Director/Grievances and Appeals-Remote/Virtual in US in ... Dover Delaware Description The Associate Director, Grievances & Appeals manages client ... a comprehensive analytic review of clinical documentation..
... 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..
... 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..
... therapies, social work, disease management education, hospice, and palliative care services ... intent to create a transformative clinical model to serve their members ... we do. The AVP of..
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,..
... and length of service. The Director of Nursing combines nursing and ... HighlightsDrive business excellence, staff excellence, clinical excellence, and patient/customer experience excellence.Provide ... collaboration.Communicate a shared vision for..
Job Information Humana Director, Data Analytics and Digital Technologies ... therapies, social work, disease management education, hospice, and palliative care services ... intent to create a transformative clinical model to..
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..
... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Dover ... on medical background and industry-standard clinical / coding guidance to ensure ... ensure physician and healthcare provider..
Job Information Humana Regional Pharmacy Sales, VP in Dover Delaware Description Enclara, is a wholly owned hospice and palliative care pharmacy business acquired by Humana in 2021. Enclara is the nation's ..
... are excited to welcome a Clinical Nurse Specialist Inpatient Care to ... to join their team. The Clinical Nurse Specialist Inpatient Care will ... seeking an ambitious and knowledgeable..
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..
... and Risk Adjustment National Medical Director in Dover Delaware Description The ... and 3) contribute as a clinical industry representative. As a leader, ... (PST) that drives national provider..
