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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..
... Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent ... this role you will: Complete..
... The Lead Behavioral Health Medical Director oversees the work of 2 ... 2 Medical Directors who conduct clinical case reviews of the care ... The Lead Behavioral Health Medical..
Description The Director, Clinical Pharmacy Drug Evaluation and Policy ... Strategies oversees drug class reviews/evaluation, clinical policy strategy development, research, P&T ... manufacturers and providers. Responsibilities The Director, Clinical Pharmacy..
... team. This position reviews the clinical appropriateness of prior authorization (PA) ... reviews for requested services using clinical judgement and works with the ... the Chief Medical Officer (CMO)/Medical..
Job Information Humana Director, Informatics in Riverton Wyoming Description ... in Riverton Wyoming Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..
Job Information Humana Associate Director, Provider Data Interoperability in Riverton ... and efficient business solutions for quality assurance and risk mitigation in ... Medicaid operational business. The Associate Director, Provider..
Job Information Humana Director, Care Delivery and EMR/EHR Technology ... in Riverton Wyoming Description The Director, Technology Solutions devises an effective ... and the core EMR/EHR. The Director, Technology Solutions..
