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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,..
Description The Clinical Pharmacy Lead monitors drug development ... and medical literature, while providing clinical support for internal stakeholders. Utilizes ... and improve health outcomes. The Clinical Pharmacy Lead works..
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,..
... 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..
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, Data Analytics and Digital Technologies ... therapies, social work, disease management education, hospice, and palliative care services ... intent to create a transformative clinical model to..
... 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..
... Responsibilities: Field Medical Leadership Support Director MSL Team Lead in deployment ... demonstrating an excellent scientific and clinical knowledge as well as an ... health care dynamics. Support Medical..
... patient care while maintaining cost-effective clinical operations in accordance with all ... and administrative policies as the clinical leader, has the authority to ... and regulations. Ensures all FMS..
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..
Job Information Humana Director of Pharmaceutical Manufacturer Relations in ... in Pittsburgh Pennsylvania Description The Director, Pharmaceutical Manufacturer Relations ensures the ... health outcomes of patients. The Director, Pharmaceutical Manufacturer..
... 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..
... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Pittsburgh ... on medical background and industry-standard clinical / coding guidance to ensure ... ensure physician and healthcare provider..
Medical Director -Publication Planning- Medical Communications ***REMOTE-WORK ... 484-567-2087 alex@libertyjobs.com #LI-AS1 #LI-Remote #MedicalCommunications #Director Key Word : (Medical Lead, ... Word : (Medical Lead, Medical Director, Scientific Director, Associate Medical..
... an immediate opportunity for an Director of Admissions General Summary: The ... of Admissions General Summary: The Director of Admissions is responsible for ... admission process and staff. The..
... and Risk Adjustment National Medical Director in Pittsburgh Pennsylvania Description The ... 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 ... Pittsburgh Pennsylvania Description The Associate Director, Grievances & Appeals manages client ... a comprehensive analytic review of clinical documentation..
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 ..
... will work closely with the clinical education and market implementation teams under ... Subject Matter Expert (SME) on clinical value-based care practices and participate ... the training team. Maintain..