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Job Information Humana Medicaid Associate Director, Compliance Nursing in Sandy Utah ... Sandy Utah Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
... 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..
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 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..
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..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Sandy Utah Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..
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..
... 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 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 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 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 Director, Behavioral Health Network & Market ... in Sandy Utah Description The Director, Behavioral Health (BH) Network and ... analysis of member access to care gaps. Support..
Description The Director, Pharmacy Clinical Formulary and Medical ... the formulary strategies. Responsibilities The Director, Pharmacy Clinical Formulary and Medical ... a broad understanding of pharmacy, managed care, PBM, market..
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..
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..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director will provide..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
