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Bristol-Myers Squibb is a global Biopharma company committed to a single mission: to discover, develop, and deliver innovative medicines focused on helping millions of patients around the world in disease areas ..
Description The Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires a solid understanding of how organization capabilities ..
Description The Clinical Strategy & Practice Lead will oversee our behavioral health (BH) clinical program for Oklahoma's Medicaid plan enrollees. They will collaborate closely with the Health Services Director and RVP, ..
... overseeing the vendor's claims processing operations and systems. The Director, Claims Oversight plays a vital ... comprised of four units: claims operations, claims systems change management, claims ... Medical..
Description The Director, Provider Reimbursement is responsible for ... the organization to include Network Operations, Provider Administration, Claims, and IT. ... team of associates. Responsibilities The Director, Provider Reimbursement develops..
Job Information Humana Clinical Strategy and Practice Lead (Behavioral Health) - Oklahoma, OK in Oklahoma City Oklahoma Description The Clinical Strategy & Practice Lead will oversee our behavioral health (BH) clinical ..
... 3 years experience in a healthcare setting or other acceptable management ... an essential function of this job.,industry:Healthcare,title:Practice Coordinator - Primary Care,datePosted:2021-07-20T07:03:57.210 0000,@context:http://schema.org,occupationalCategory:Advanced ... Chief Medical Officer, Registered Nurse..
Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for Humana ..
Job Information Humana (RN)Associate Director, Care Management - Oklahoma City, ... Tulsa Oklahoma Description The Associate Director, Care Management leads teams of ... for care management. The Associate Director, Care..
... grow, the National Medicaid Clinical Operations team is expanding our shared ... delivery process. The National Medicaid Director of Clinical Strategy and Practice ... community within the enterprise. The..
... Humana is a Fortune 60 healthcare company with a history of ... top place to work in healthcare, especially in areas of Diversity ... a personalized, seamless and easy..
Job Information Humana Associate Director, Quality Improvement - Oklahoma City, ... City Oklahoma Description The Associate Director, Quality Improvement provides strategic leadership ... for accreditation compliance. The Associate Director, Quality..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
Description The Medical Director actively uses their medical background, ... work. Responsibilities Title: Commercial Medical Director Location: Work At Home - ... weeks. Job Summary The Medical Director's work includes..
Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. ..
Description The Director, Process Improvement analyzes, and measures ... quantifiable business process improvements. The Director, Process Improvement requires an in-depth ... function or segment. Responsibilities The Director, Process Improvement researches..
Description Responsibilities Humana's Corporate Strategy team is a small, high-performing organization that works closely with Humana's senior leadership to chart the course for the company's future. Within Strategy Operations, you will ..
Description The Director of Product Management for Clinical ... business acumen. Responsibilities As the Director of Product Management for Clinical ... and services. Partners closely with operations, vendors, customer success..
Description The Medicaid Oklahoma Pharmacy Director monitors drug development pipeline, and ... health outcomes. The Medicaid Pharmacy Director works on problems of diverse ... only Humana's Oklahoma Medicaid Pharmacy Director..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Tulsa Oklahoma ... Tulsa Oklahoma Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
Description The Associate Director, Utilization Management Nursing utilizes clinical ... benefit administration determinations. The Associate Director, Utilization Management Nursing requires a ... grow, the National Medicaid Clinical Operations team is..
Job Information Humana Associate Director, Utilization Management Nursing - Oklahoma ... City Oklahoma Description The Associate Director, Utilization Management Nursing uses clinical ... including collaboration with the Medical Director to..
