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Description The Director, Health Services utilizes clinical nursing skills to ... the coordination, documentation and communication of medical services and/or benefit administration determinations. The ... and/or benefit administration determinations. The..
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 Glen ... Allen Virginia Description The Associate Director, Utilization Management Nursing utilizes clinical ... the coordination, documentation and communication of..
Job Information Humana Director of Public Policy in Glen Allen ... Glen Allen Virginia Description The Director of Public Policy role resides in ... development for a broad range of..
... 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...
Job Information Humana Director, State Public Policy in Glen ... Glen Allen Virginia Description The Director of State Public Policy role resides ... development for a broad range of policy..
Job Information Humana Medical Director - S. Florida in Glen ... Allen Virginia Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..
Job Information Humana Director, Contract Tools, Education, Processes (remote ... Glen Allen Virginia Description The Director, Contract Tools, Education, Processes manages ... best in class knowledge. The Director, Contract Tools,..
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..
... Information Humana Regional VP, Health Services (Mid-Atlantic Region) in Glen Allen ... Description The Regional VP, Health Services relies on medical background and ... claims. The Regional VP, Health..
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 Director, Behavioral Health Strategy in Glen ... Glen Allen Virginia Description The Director, Behavioral Health (DBH) will ensure ... their behavioral health needs. The Director, Behavioral Health..
Job Information Humana Medical Director of Trend Analytics in Glen Allen ... organization is seeking a Medical Director of Trend Analytics. As a clinical ... the clinical review and development..
Job Information Humana UM Medical Director - Conviva in Glen Allen ... Allen Virginia Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director..
Job Information Humana Director of Public Policy in Richmond Virginia ... in Richmond Virginia Description The Director of Public Policy role resides in ... development for a broad range of..
Job Information Humana Medical Director - Florida Medicaid in Glen ... Allen Virginia Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..
... 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..
... 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..
... an employee-owned corporation providing research services to agencies of the U.S. Government, as well ... research, technical, and administrative staff of more than 2,000 is located ... opening for..