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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,..
Job Information Humana Physician - CenterWell - Atlanta, GA in Aberdeen South Dakota Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Job Information Humana Associate Director/Grievances and Appeals-Remote/Virtual in US in ... South Dakota Description The Associate Director, Grievances & Appeals manages client ... a comprehensive analytic review of clinical documentation..
President & Chief Executive Officer (CEO) -Avera St. Lukes Please do not hit the click to apply button on this page. Candidates wishing to apply must submit materials electronically. Application materials ..
Job Information Humana Lead Product Manager - Healthcare API in Aberdeen South Dakota Description The Lead Product Manager - Healthcare API (SME) as part of Humana's Enterprise API product team, is ..
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,..
... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Aberdeen ... on medical background and industry-standard clinical / coding guidance to ensure ... ensure physician and healthcare provider..
... and Risk Adjustment National Medical Director in Aberdeen South Dakota Description ... and 3) contribute as a clinical industry representative. As a leader, ... (PST) that drives national provider..
... 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..
... position is eligible for the Education Debt Reduction Program (EDRP), a ... are determined by the VHA Education Loan Repayment Services program office ... for Eligible, Highly Qualified applicants...
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..
... 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 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 Physician - CenterWell - Atlanta, GA - College Park in Aberdeen South Dakota Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for ..
Job Information Humana Director of Pharmaceutical Manufacturer Relations in ... Aberdeen South Dakota Description The Director, Pharmaceutical Manufacturer Relations ensures the ... health outcomes of patients. The Director, Pharmaceutical Manufacturer..
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..
... 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..
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 ..
... to the National Medicaid Quality Director, and be responsible for the ... in improving operational process and clinical care quality in an effort ... related issues, process improvement, and..
Job Information Humana Regional Pharmacy Sales, VP in Aberdeen South Dakota Description Enclara, is a wholly owned hospice and palliative care pharmacy business acquired by Humana in 2021. Enclara is the ..
... 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..
