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... several impacted business areas, including clinical services, sales, marketing, IT/technology, and customer service. As ... and customer service. As a Director of Consumer Experience Strategy, you ... core operations..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Green Bay ... Bay Wisconsin Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
Description The Director, Market Development provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Director, Market Development ..
Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies ... HPS executive leaders, Trade Relations, Clinical, Analytics, Actuaries, and Operation functions ... the formulary strategies. Responsibilities The Director, Pharmacy..
Description The Medical Director's primary responsibility is the review ... level of care. The Medical Director's work assignments involve moderately complex ... variable factors that rely on clinical experience and..
... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Green ... on medical background and industry-standard clinical / coding guidance to ensure ... MD, Stars and Risk Adjustment..
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, Pharmacy Clinical Trend and Pipeline in Green ... team that helps translate the clinical into financial to ensure Humana ... external vendors and providers. The Director,..
Description The Director, Pharmacy Clinical Pipeline oversees the medical and ... leaders across the Humana enterprise, clinical subject matter experts, analytics, actuaries ... and finance teams. Responsibilities The Director, Pharmacy..
Description The Director of Product Management for Clinical Pharmacy Products develops and evaluates ... business acumen. Responsibilities As the Director of Product Management for Clinical Pharmacy Products, you will be..
Job Information Humana Director, Informatics in Green Bay Wisconsin ... Green Bay Wisconsin Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..
Job Information Humana Director, State Public Policy in Green Bay Wisconsin Description The Director of State Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public ..
... in the role of Associate Director, Neighborhood Center. Neighborhood Centers are ... health education and improvement programs, clinical support, health screenings, customer service ... across the enterprise. The Associate..
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..
Job Information Humana Director, Behavioral Health Network & Market ... Green Bay Wisconsin Description The Director, Behavioral Health (BH) Network and ... providers are engaged and recommend clinical models based..
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,..
... to grow, the National Medicaid Clinical Operations team is expanding our ... services organization to enhance the clinical delivery process. The National Medicaid ... delivery process. The National Medicaid..
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 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 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..
... and Risk Adjustment National Medical Director in Green Bay Wisconsin Description ... and 3) contribute as a clinical industry representative. As a leader, ... background, business acumen, and industry-standard..
Job Information Humana Associate VP, Marketing - Home Segment in Green ... add considerable complexity to the marketing function supporting the segment and ... supporting the segment and strong marketing..
