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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,..
Genesis is one of the nations' leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how ..
... 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..
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 Associate Director/Grievances and Appeals-Remote/Virtual in US in ... New Hampshire Description The Associate Director, Grievances & Appeals manages client ... a comprehensive analytic review of clinical documentation..
... 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 Summary: Responsible for the overall operations of the laboratory. Essential Key Responsibilities: Manages day-to-day laboratory operations of the practice and establishes guidelines to prioritize work production evaluate effectiveness and improve ..
... to three core aims: outstanding clinical education, strong social engagement, and world ... with NHS partners, with early clinical contact for all students. The ... to producing dental practitioners..
... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Portsmouth ... on medical background and industry-standard clinical / coding guidance to ensure ... ensure physician and healthcare provider..
... 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..
Genesis HealthCare is one of the leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how ..
$500.00 Sign On Bonus! Genesis is one of the nations' leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. ..
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..
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 ... Portsmouth New Hampshire Description The Director, Pharmaceutical Manufacturer Relations ensures the ... health outcomes of patients. The Director, Pharmaceutical Manufacturer..
... 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..
... and Risk Adjustment National Medical Director in Portsmouth New Hampshire Description ... and 3) contribute as a clinical industry representative. As a leader, ... (PST) that drives national provider..