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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 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..
... 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 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, ..
... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Springfield ... on medical background and industry-standard clinical / coding guidance to ensure ... ensure physician and healthcare provider..
... 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..
Job Information Humana Director of Pharmaceutical Manufacturer Relations in ... in Springfield Missouri Description The Director, Pharmaceutical Manufacturer Relations ensures the ... health outcomes of patients. The Director, Pharmaceutical Manufacturer..
... this community.Qualifications:Experience: Must have demonstrated clinical expertise in his/her area; and ... relations, and organizational skills. Required Education: Graduate of an accredited school ... ,skills:human relations, primary care, offer,..
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,..
... 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..
... this community.Qualifications:Experience: Must have demonstrated clinical expertise in his/her area; and ... relations, and organizational skills. Required Education: Graduate of an accredited NP ... communication, alertness, innovative, organizational skills,..
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 makes determinations regarding prior authorization ... resources which may include national clinical guidelines, Humana contract language, Humana ... and determinations, medical necessity criteria, clinical..
... 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..
... and Risk Adjustment National Medical Director in Springfield Missouri Description The ... 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..
Job Information Humana Associate Director/Grievances and Appeals-Remote/Virtual in US in ... Springfield Missouri Description The Associate Director, Grievances & Appeals manages client ... a comprehensive analytic review of clinical documentation..
... is preferred.Qualifications:Experience: Must have demonstrated clinical expertise in his/her area; and ... human relations, and organizational skills.Required Education: Graduate of an accredited NP ... licensure, nurses, nurse, nurse practitioner,..
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 ..
