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Description The Medical Director actively uses their medical background, ... to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All .....
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... complex issues where the analysis of situations or..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Aberdeen ... South Dakota Description The Associate Director, Utilization Management Nursing utilizes clinical ... the coordination, documentation and communication of..
Job Information Humana Medical Director of Trend Analytics in Aberdeen South ... organization is seeking a Medical Director of Trend Analytics. As a clinical ... the clinical review and development..
Job Information Humana Medical Director - Florida Medicaid in Aberdeen ... South Dakota Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..
Job Information Humana Director, State Public Policy in Aberdeen ... Aberdeen South Dakota Description The Director of State Public Policy role resides ... development for a broad range of policy..
Description The Director, Pharmacy Clinical Pipeline oversees the ... and finance teams. Responsibilities The Director, Pharmacy Pipeline requires a broad ... Pipeline requires a broad understanding of pharmacy and managed..
Job Information Humana Director of Public Policy in Aberdeen South ... Aberdeen South Dakota Description The Director of Public Policy role resides in ... development for a broad range of..
... an experienced and dynamic Associate Director of Accreditation to manage a team ... Accreditation to manage a team of subject matter experts on NCQA ... have a proven track..
... Development Advisor works on problems of diverse scope and complexity ranging ... Experience in the Ohio Department of Medicaid Managed Care Contract. Ensures ... stakeholder including the Ohio Department..
Job Information Humana Director, Behavioral Health Strategy in Aberdeen ... Aberdeen South Dakota Description The Director, Behavioral Health (DBH) will ensure ... their behavioral health needs. The Director, Behavioral Health..
Job Information Humana UM Medical Director - Conviva in Aberdeen South ... South Dakota Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director..
Job Information Humana Medical Director - S. Florida in Aberdeen ... South Dakota Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..
