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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,..
... 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..
... 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..
Seeking Pain Management Medical Director in thriving economic community - ... team representing physicians, nursing, patient education, psychology, chaplaincy, occupational therapy, physical ... will serve as the Medical Director of..
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..
... 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..
Job Information Humana Regional Pharmacy Sales, VP in Fargo North Dakota Description Enclara, is a wholly owned hospice and palliative care pharmacy business acquired by Humana in 2021. Enclara is the ..
... 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..
... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Fargo ... on medical background and industry-standard clinical / coding guidance to ensure ... ensure physician and healthcare provider..
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 Director of Pharmaceutical Manufacturer Relations in ... Fargo North Dakota Description The Director, Pharmaceutical Manufacturer Relations ensures the ... health outcomes of patients. The Director, Pharmaceutical Manufacturer..
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 ..
... 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 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 Lead Product Manager - Healthcare API in Fargo North Dakota Description The Lead Product Manager - Healthcare API (SME) as part of Humana's Enterprise API product team, is ..
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 Risk Adjustment National Medical Director in Fargo North Dakota Description ... and 3) contribute as a clinical industry representative. As a leader, ... (PST) that drives national provider..
Job Information Humana Associate Director/Grievances and Appeals-Remote/Virtual in US in ... North Dakota Description The Associate Director, Grievances & Appeals manages client ... a comprehensive analytic review of clinical documentation..