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Senior Director, Risk Management and Operations Support Duties: Prioritize and manage day to day operations. Develops and mentors staff to build a culture of excellence. Responsible for organization structure and sourcing ..
... drug manufacturers and providers. The Director, Pharmacy Clinical Formulary and Medical ... a broad understanding of pharmacy, managed care, and specialty to develop and/or ... medical drug strategies. Responsibilities..
Description The Director of Health Services for National ... and/or benefit administration determinations. The Director, Health Services requires an in-depth ... the clinical delivery process. The Director of Health Services..
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 Behavioral Health Medical Director makes determinations regarding prior authorization ... daily work. Responsibilities The Medical Director provides medical interpretation and decisions ... Summary The Behavioral Health Medical Director's..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Torrance California ... Torrance California Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral ... operations. The Behavioral Health Medical Director work assignments involve moderately complex ... Business's..
... a rapidly growing mental health care company dedicated to making a ... County.u003c/spanu003eu003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003eEmployment Status:u0026nbsp;u003c/strongu003eu0026nbsp;Full-Timeu003cstrongu003eu003cspanu003eu0026nbsp;u003c/spanu003eu003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003ePOSITION SUMMARYu003c/strongu003eu003cbr /u003eThe Regional Director manages facilities within the assigned ... of clinical program objectives, quality..
Description The Director, Strategy Advancement provides data-based strategic ... along the way. Responsibilities The Director, Retail Strategy & Product Advancement ... and insights working within a Managed Care Plan. An..
... in developing a robust integrated care delivery model that integrates insurance ... insurance with high value health care services, such as Primary Care, Home Care, and Pharmacy. Humana is..
Description Humana's Primary Care Organization (PCO) is seeking a ... anywhere in the U.S. This marketing professional is responsible for the ... responsible for the implementation of marketing strategies, campaigns..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline ... external vendors and providers. The Director, Pharmacy Clinical Trend and Pipeline ... broad understanding of pharmacy and managed care to..
Description Humana is seeking a Director of Strategy with significant strategy consulting experience to manage and deliver strategy projects and analysis on behalf of our Medicare Prescription Drug Plan business. You'll ..
OverviewnCovenant Care encompasses three business lines that ... of a patientu2019s continuum of care and work together to achieve ... to achieve excellence in patient care across California and Nevada:nn..
... 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..
Description The Director, Pharmacy Clinical Pipeline oversees the ... and finance teams. Responsibilities The Director, Pharmacy Pipeline requires a broad ... broad understanding of pharmacy and managed care to develop..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The Medical Director actively uses..
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 provides medical..
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 ... of health. Responsibilities The Medical..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Torrance California Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..
This is a Sr. Director Regional Operations role that will ... Flexible Spending for Healthcare, Dependent Care & Commuter ExpensesPURPOSE AND SCOPE:Supports ... and projects supporting Azura Vascular Care strategic..