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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 Lancaster South ... South Carolina Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
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..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Lancaster ... team that helps translate the clinical into financial to ensure Humana ... external vendors and providers. The Director,..
Job Information Humana Director, Informatics in Lancaster South Carolina ... Lancaster South Carolina Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..
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 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,..
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 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 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..
... 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 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 Lancaster South Carolina Description The Director of State Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public ..
... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Lancaster ... on medical background and industry-standard clinical / coding guidance to ensure ... MD, Stars and Risk Adjustment..
... their health partners. Humana's Enterprise Clinical Operating Model (ECOM), is a ... outcomes through better integrating Humana's clinical capabilities, processes, and technology. This ... teams across Humana Responsibilities The..
Job Information Humana Director, Marketing Technology Strategy in Lancaster South ... Humana is building a best-in-class Marketing organization to drive profitable membership ... across diverse business lines. The Marketing Operations..
Job Information Humana Director, Behavioral Health Network & Market ... Lancaster South Carolina Description The Director, Behavioral Health (BH) Network and ... providers are engaged and recommend clinical models based..
... and Risk Adjustment National Medical Director in Lancaster South Carolina 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 Lancaster ... 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..
... 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..
... 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..