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Description Humana's Lead Program Integrity Investigator will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance program to prevent and detect potential FWA activities pursuant to state ..
Description In the fast-paced, ever-growing world of Healthcare, Humana relies on the latest technology and trends for sharing and storing information, communication and security. We need experts in technology to help ..
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..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Tulsa Oklahoma Description The Behavioral Health Quality Lead will report directly to the National Medicaid Quality Director, and be responsible for ..
... an Area Team Lead or Director of Operations role.Our culture: We ... tuition reimbursement to support your education goals, granting scholarships to family ... through discharge of the patient.Ensure..
Description The Senior Technology Leadership Professional collaborates with Associate VP, Directors and Managers on quality goals and initiatives in all aspects of software or hardware product delivery and performance. You will ..
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..
... and Risk Adjustment National Medical Director in Tulsa Oklahoma Description The ... (PST) that drives national provider education strategy and operations along with ... physician and healthcare provider plans,..
Description The Behavioral Health Medical Director responsible for behavioral health care ... operations. The Behavioral Health Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director..
Job Information Humana Regional Pharmacy Sales, VP in Tulsa Oklahoma Description Enclara, is a wholly owned hospice and palliative care pharmacy business acquired by Humana in 2021. Enclara is the nation's ..
Job Information Humana Associate Director/Grievances and Appeals-Remote/Virtual in US in ... Tulsa Oklahoma Description The Associate Director, Grievances & Appeals manages client ... other Humana parties. The Associate Director, Grievances..
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..
Job Information Humana Lead Product Manager - Healthcare API in Tulsa Oklahoma Description The Lead Product Manager - Healthcare API (SME) as part of Humana's Enterprise API product team, is directly ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Description The Associate Director, Operational Readiness ensures optimized interaction ... you Come In The Associate Director, Operational Readiness ensures optimized interaction ... excellent professional development & continued education. Required Qualifications..
... ensure physician and healthcare provider education, reporting and materials are accurate ... for physician and healthcare provider education for Risk Adjustment and Stars. ... 10 associates across three functions:..
... Information Humana Behavioral Health Medical Director - Oklahoma Medicaid in Tulsa ... Humana's Oklahoma Medicaid BH Medical Director will oversee our behavioral health ... payment programs. The BH Medical..
Description The Quality Management Director provides strategic leadership for Humana's ... setting Responsibilities The Quality Management Director provides strategic leadership for Humana's ... lead for accreditation compliance. The Director has..
Description The Senior Quality Improvement Professional will focus organizational efforts on improving South Carolina Medicaid clinical quality performance measures to achieve optimal performance and quality for the Humana Healthy Horizons in ..
... Senior Sales Marketing Professional (Agent Education Marketing) to join working remote ... you will focus on Agent Education Marketing where you will develop ... platform that drives the agent..