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Description The Director of Health Services for National Medicaid Clinical Operations ... the coordination, documentation and communication of medical services and/or benefit administration determinations. The ... and/or benefit administration determinations...
... team is expanding our shared services organization to enhance the clinical ... delivery process. The National Medicaid Director of Clinical Strategy and Practice builds ... community within the enterprise...
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..
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 .....
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Overland ... Park Kansas Description The Associate Director, Utilization Management Nursing utilizes clinical ... the coordination, documentation and communication of..
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 UM Medical Director - Conviva in Overland Park ... Park Kansas Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director..
... 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 Medical Director - S. Florida in Overland ... Park Kansas Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..
Job Information Humana Medical Director - Florida Medicaid in Overland ... Park Kansas Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..
... 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..
Job Information Humana Director, State Public Policy in Overland ... Overland Park Kansas Description The Director of State Public Policy role resides ... development for a broad range of policy..
Job Information Humana Director of Public Policy in Overland Park ... Overland Park Kansas Description The Director of Public Policy role resides in ... development for a broad range of..
... You may qualify for reimbursement of relocation expenses in accordance with ... integrated health care system, consisting of 171 medical centers, 1,400 Community-Based ... Centers provide a wide range..
Job Information Humana Medical Director of Trend Analytics in Overland Park ... organization is seeking a Medical Director of Trend Analytics. As a clinical ... the clinical review and development..
Job Information Humana Director, Behavioral Health Strategy in Overland ... Overland Park Kansas Description The Director, Behavioral Health (DBH) will ensure ... their behavioral health needs. The Director, Behavioral Health..