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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,..
... 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,..
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..
Refugee and Human Rights Clinic Staff Attorney The University of Maine School of Law is seeking to hire an experienced Staff Attorney for the Refugee and Human Rights Clinic (RHRC), a ..
Job Information Humana Director of Pharmaceutical Manufacturer Relations in ... in Portland Maine Description The Director, Pharmaceutical Manufacturer Relations ensures the ... health outcomes of patients. The Director, Pharmaceutical Manufacturer..
Job Information Humana Regional Pharmacy Sales, VP in Portland Maine Description Enclara, is a wholly owned hospice and palliative care pharmacy business acquired by Humana in 2021. Enclara is the nation's ..
... Genesis Healthcare Marketing and Admissions Director in Scarborough Maine Looking for ... as a Marketing and Admissions Director where you will manage the ... of living options and professional..
Job Information Humana Lead Product Manager - Healthcare API in Portland Maine Description The Lead Product Manager - Healthcare API (SME) as part of Humana's Enterprise API product team, is directly ..
... 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..
... and Risk Adjustment National Medical Director in Portland Maine Description The ... and 3) contribute as a clinical industry representative. As a leader, ... (PST) that drives national provider..
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..
... the recruitment process for new clinical staff. Assists with clinical orientation and on-going training of ... set forth in the FMS Clinical Services Clinical Training Manual(s), FMS policies and..
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..
... of living options and professional clinical services. We are changing how ... the next level as a Director of Nursing in Training at ... consists of management training utilizing..
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 ..
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..
... 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..
... 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..
... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Portland ... on medical background and industry-standard clinical / coding guidance to ensure ... ensure physician and healthcare provider..
Job Information Humana Associate Director/Grievances and Appeals-Remote/Virtual in US in ... Portland Maine Description The Associate Director, Grievances & Appeals manages client ... a comprehensive analytic review of clinical documentation..