Director Clinical Marketing Jobs in Charleston

... health (BH)/Substance Use Disorder (SUD) clinical quality performance measures to achieve ... work closely with the Quality Director, Behavioral Health Director, Quality Improvement Manager and those ... Professional is..

Description The Population Health Strategy Lead is responsible for improving the quality of care and outcomes while managing costs for our underserved communities in West Virginia. The Population Health Strategy Lead ..

... on hours needed. Will provide non-clinical support for providers acting as ... counties based on hours needed Non-clinical support of providers, acting as ... qualitative input to strategy Market..

Description The Director, Broker and Consultant Relations will ... Humana from the competition. The Director, Broker and Consultant Relations will ... term and long term. The Director, Broker and Consultant..

... team. This position reviews the clinical appropriateness of prior authorization (PA) ... reviews for requested services using clinical judgement and works with the ... the Chief Medical Officer (CMO)/Medical..

Job Information Humana Release Train Engineer in Charleston West Virginia Description The RTE role responsibilities include overseeing the execution of cross-functional teams including Product Managers, Product Owners, Scrum Masters, Technology Leads, ..

Description The Risk Adjustment Integrity Unit (RAIU) Associate Director works collaboratively across the enterprise, communicating both the story and impacts of the highly specialized and critical investigations the unit conducts. This ..

... Associate VP, Business Transformation and Clinical Innovation in Charleston West Virginia ... The AVP, Business Transformation and Clinical Innovation leads the business transformation ... The AVP, Business Transformation and..

Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..

Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Charleston ... West Virginia Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the ... benefit..

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 Network Optimization Lead oversees various efforts involving highly complex data analysis and consultation projects/contracts. The Network Optimization Lead works on problems of diverse scope and complexity ranging from moderate ..

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..

... The Lead Behavioral Health Medical Director oversees the work of 2 ... 2 Medical Directors who conduct clinical case reviews of the care ... The Lead Behavioral Health Medical..

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 actively uses..

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..

Description The Medical Director actively uses their medical background, ... resources, which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations, clinical reference materials,..

Job Information Humana Associate VP, HR Business Partner in Charleston West Virginia Description Humana Inc., headquartered in Louisville, Kentucky, is a Fortune 100 company committed to helping its millions of medical ..

Job Information Humana Director, Informatics in Charleston West Virginia ... Charleston West Virginia Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..

... 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..