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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..
... 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..
Make a difference in the lives of patients/residents in their personal journey with dementia as our Memory Support Director. In this role, you will develop and maintain a quality memory support ..
Job Information Humana Director of Pharmaceutical Manufacturer Relations in ... Newport Rhode Island Description The Director, Pharmaceutical Manufacturer Relations ensures the ... health outcomes of patients. The Director, Pharmaceutical Manufacturer..
... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Newport ... on medical background and industry-standard clinical / coding guidance to ensure ... ensure physician and healthcare provider..
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..
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 ..
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,..
Job Information Humana Associate Director/Grievances and Appeals-Remote/Virtual in US in ... Rhode Island Description The Associate Director, Grievances & Appeals manages client ... a comprehensive analytic review of clinical documentation..
Clinical Co-Director, Psychiatric Triage Center (Full Time) ... behavioral health crisis center! The Clinical Co-Director will provide clinical oversight to master’s level clinician’s, ... needed. This position will share Director..
Deputy Vice President of Acute Services (Full Time) Location: Providence,RI Community Care Alliance is seeking a Deputy Vice President for its Acute Services Division. The Deputy Vice President will report directly ..
... 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..
Early Intervention Clinical Supervisor/Team Leader (Full Time) Location: Woonsocket, RI POSITION SUMMARY: Promote and implement high standards of family-centered practice and service provision within the Early Intervention Program. Communicates effectively in ..
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..
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 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..
... 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 ..
Join our Team! Become our Director of Social Services! Work Closely ... of living options and professional clinical services. Why Genesis? We improve ... YOU! We provide career ladders, education..
... and Risk Adjustment National Medical Director in Newport Rhode Island Description ... and 3) contribute as a clinical industry representative. As a leader, ... (PST) that drives national provider..