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Description The Director, Health Services utilizes clinical nursing skills to support the ... and/or benefit administration determinations. The Director, Health Services requires an in-depth ... segment. Responsibilities The SC Medicaid..
Description The Director, Strategy Advancement provides data-based strategic direction identifying and delivering new avenues of growth is a critical company priority, championed by the SVP of Retail Strategy & Product. We're ..
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 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, Marketing Technology Strategy in Charlotte North ... Humana is building a best-in-class Marketing organization to drive profitable membership ... across diverse business lines. The Marketing Operations..
Description Humana's Primary Care Organization is one of the largest and fastest growing value-based and senior-focused primary care providers in the country, operating over 200 centers across eight states under two ..
Job Information Humana Associate VP, Marketing - Home Segment in Charlotte ... add considerable complexity to the marketing function supporting the segment and ... supporting the segment and strong marketing..
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 Centerwell Director Clinical Ops & Services Home Health ... Charlotte North Carolina As a Clinical Operations and Services Director, Home Health ; you will: ... Health ; you..
... estate, construction, training, human resources, clinical staff and finance. Secures needed ... estate, construction, training, human resources, clinical staff and finance. Secures needed ... risks and issues to Associate..
... innovations, flexible medication access, one-on-one clinical support, and excellent customer service. ... for a strong and seasoned marketing professional that will help manage ... key aspects of the corporate..
... 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..
... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Charlotte ... on medical background and industry-standard clinical / coding guidance to ensure ... MD, Stars and Risk Adjustment..
... and Risk Adjustment National Medical Director in Charlotte North Carolina Description ... and 3) contribute as a clinical industry representative. As a leader, ... background, business acumen, and industry-standard..
... 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..
Job Information Humana Director, State Public Policy in Charlotte North Carolina Description The Director of State Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public ..
Job Information Humana Director, Behavioral Health Network & Market ... Charlotte North Carolina Description The Director, Behavioral Health (BH) Network and ... providers are engaged and recommend clinical models based..
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 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 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..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Charlotte ... team that helps translate the clinical into financial to ensure Humana ... external vendors and providers. The Director,..
Job Information Humana Director, Informatics in Charlotte North Carolina ... Charlotte North Carolina Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..