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... supervision of the Administrator, the Clinical Director provides leadership, coordination, and clinical supervision to multidisciplinary team(s) and/or ... u003c/spanu003eu003c/spanu003eu003c/spanu003eu003cspanu003eTwo (2) years post-graduate direct clinical experience in a mental health..
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..
Job Information Humana Associate Director/Grievances and Appeals-Remote/Virtual in US in ... Salem Oregon Description The Associate Director, Grievances & Appeals manages client ... a comprehensive analytic review of clinical documentation..
... 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..
Job Information Humana Regional Pharmacy Sales, VP in Salem Oregon Description Enclara, is a wholly owned hospice and palliative care pharmacy business acquired by Humana in 2021. Enclara is the nation's ..
Job Information Humana Lead Product Manager - Healthcare API in Salem Oregon Description The Lead Product Manager - Healthcare API (SME) as part of Humana's Enterprise API product team, is directly ..
... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Salem ... 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..
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 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 Director of Pharmaceutical Manufacturer Relations in ... in Salem Oregon 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..
... 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 ... variable factors. Responsibilities The Medical Director provides medical..
... 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..
... 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 Salem Oregon Description The ... and 3) contribute as a clinical industry representative. As a leader, ... (PST) that drives national provider..
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..