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... Humana Military is the Managed Care Support Contractor (MCSC) for the ... charged with administering the TRICARE health plan in the East Region. ... the claims processing and financial..
Description The Director, QOCA Strategy - serves as ... associates assignments. Responsibilities Responsibilities The Director, QOCA Strategy works with QOCA ... Degree in Nursing, Business Administration, Health Care Administration, or..
Description The Director of Health Services for National Medicaid Clinical ... and/or benefit administration determinations. The Director, Health Services requires an in-depth understanding ... the clinical delivery process. The Director..
Description The Medical Director's primary responsibility is the review ... given service or level of care. The Medical Director's work assignments involve moderately complex ... medicine and social determinants of..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral ... strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex..
Description The Associate Director, Technology Solution Implementation delivers new ... to enterprise objectives. The Associate Director, Clinical Release Management and Configuration Management will be responsible for leading ... responsible for..
... and Risk Adjustment National Medical Director in Birmingham Alabama Description The ... Birmingham Alabama Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... and Risk Adjustment National Medical..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., ... new brand for a primary care medical group practice with centers ... and Texas. CenterWell Senior Primary Care has..
Description The Medical Director actively uses their medical background, ... requested services, requested level of care, and/or requested site of service ... daily work. Responsibilities The Medical Director's work includes..
Description The Medical Director relies on medical background and ... on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Birmingham Alabama ... Birmingham Alabama Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... waste,..
Description The Medical Director relies on medical background and ... on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ... Humana Government Business's (HGB)..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... daily work. Responsibilities The Medical Director provides medical interpretation and decisions ... Responsibilities Job Summary The Behavioral Health..
Description The Director, Pharmacy Clinical Pipeline oversees the ... and finance teams. Responsibilities The Director, Pharmacy Pipeline requires a broad ... understanding of pharmacy and managed care to develop and/or..
... leader and innovator in the health and wellness industry. A passionate ... culture. We're not just a health insurance company: our diverse lines ... in developing a robust integrated..
Description The Medical Director relies on medical background and ... on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The..
... services from short-term to long-term care and a wide variety of ... services. We are changing how care is delivered by bringing together ... clinical team as an Assistant..
... delivery process. The National Medicaid Director of Clinical Strategy and Practice ... community within the enterprise. The Director of Clinical Strategy has direct ... direct responsibility for establishing the..
Job Information Humana Director, Medicaid Strategic Solutions in Birmingham ... company committed to improving the health of the communities it serves. ... structured problem solving, and project management rigor. We..
... a company focused on the health and well-being of the people ... as Associate Vice President, Home Care Product Management for the Value-Based Division of ... outcomes. Initially the..
... a company focused on the health and well-being of the people ... of Associate Vice President, Behavioral Health Strategy. In this role, you ... responsibility for evolving Humana's behavioral..
