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Job Information Humana Medicaid Associate Director, Compliance Nursing in Metairie Louisiana ... Metairie Louisiana Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
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 ..
... and Risk Adjustment National Medical Director in Metairie Louisiana Description The ... and 3) contribute as a clinical industry representative. As a leader, ... background, business acumen, and industry-standard..
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..
... 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..
Job Information Humana Director, Quality Improvement in Metairie Louisiana ... in Metairie Louisiana Description The Director, Quality Improvement implements quality improvement ... plan, and annual evaluation. The Director, Quality Improvement..
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, Informatics in Metairie Louisiana Description ... in Metairie Louisiana Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..
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 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 Associate VP, Marketing - Home Segment in Metairie ... add considerable complexity to the marketing function supporting the segment and ... supporting the segment and strong marketing..
Job Information Humana Director, Provider Services - Louisiana Medicaid ... in Metairie Louisiana Description The Director, Provider Engagement develops and grows ... with the health plan. The Director, Provider Engagement..
... 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..
... 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 Director, Field Sales - CenterWell Louisiana in Hammond Louisiana Description Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care ..
... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Metairie ... on medical background and industry-standard clinical / coding guidance to ensure ... MD, Stars and Risk Adjustment..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Metairie ... team that helps translate the clinical into financial to ensure Humana ... external vendors and providers. The Director,..
Job Information Humana Director, State Public Policy in Metairie Louisiana Description The Director of State Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public policy ..
Job Information Humana Director, Marketing Technology Strategy in Metairie Louisiana ... 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 ... in Metairie Louisiana 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..