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Description The Director of Health Services for National ... Health Services for National Medicaid Clinical Operations utilizes clinical skills to support the coordination, ... and/or benefit administration determinations. The Director,..
... 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 Overland Park ... Park Kansas Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate 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..
... LTSS (long-term services and supports) clinical officer / medical director to join our team. This ... KanCare, as well as all clinical activities pertaining to the operation ... the..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Overland ... team that helps translate the clinical into financial to ensure Humana ... external vendors and providers. The Director,..
... 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..
... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Overland ... on medical background and industry-standard clinical / coding guidance to ensure ... MD, Stars and Risk Adjustment..
... 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 Associate VP, Marketing - Home Segment in Overland ... add considerable complexity to the marketing function supporting the segment and ... supporting the segment and strong marketing..
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..
Job Information Humana Director, Marketing Technology Strategy in Overland Park ... Humana is building a best-in-class Marketing organization to drive profitable membership ... across diverse business lines. The Marketing Operations..
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..
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..
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, Informatics in Overland Park Kansas ... Overland Park Kansas Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..
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 ..
... and Risk Adjustment National Medical Director in Overland Park Kansas Description ... and 3) contribute as a clinical industry representative. As a leader, ... background, business acumen, and industry-standard..
Job Information Humana Director, Behavioral Health Network & Market ... Overland Park Kansas Description The Director, Behavioral Health (BH) Network and ... providers are engaged and recommend clinical models based..
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, State Public Policy in Overland Park Kansas Description The Director of State Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public ..