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Description The Director of Health Services for National Medicaid Clinical ... benefit administration determinations. The Director, Health Services requires an in-depth understanding ... delivery process. The Director of Health Services..
Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The..
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... SCOPE: Manages the provision of quality patient care in an independent home therapy ... to ensure the continuity of care and patient and staff safety. ... to the interdisciplinary..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Indianapolis Indiana Description ... Indiana Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the ... and..
... Utilizes broad understanding of managed care and PBM knowledge to develop, ... mitigate cost trend and improve health outcomes. The Clinical Pharmacy Lead ... wholly owned hospice and palliative..
... requested services, requested level of care, and/or requested site of service ... associates, and possible participation in care management. The clinical scenarios predominantly arise ... arise from inpatient or..
... Lead - Humana at Home Care Management Team- WAH Nationwide in Indianapolis ... Indianapolis Indiana Description About Humana Care Management: Are you passionate about the ... strategy focused on..
Description The Behavioral Health Medical Director makes determinations regarding ... issues regarding technical approach for project components, and work is performed ... Responsibilities Job Summary The Behavioral Health Medical Director's..
... on medical background and reviews health claims. The Medical Director work ... Humana Government Business's (HGB) Behavioral Health Medical Director will provide clinical ... provide clinical oversight to Behavioral..
Description The Senior Quality Improvement Professional will focus organizational ... organizational efforts on improving behavioral health (BH)/Substance Use Disorder (SUD) clinical ... (BH)/Substance Use Disorder (SUD) clinical quality performance measures..
Job Information Humana Manager, Care Management Social Services-WAH Nationwide in Indianapolis ... Description Job Description Summary The Manager, Care Management leads teams of social work ... for contributing to the..
... Information Humana Behavorial Economics Program Manager - Test & Learn Portfolio ... Description The Behavioral Economics Program Management Lead designs, executes, and measures ... experiments. The Behavioral Economics Program..
... Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Indianapolis Indiana Description ... Indianapolis Indiana Description The Behavioral Health Quality Lead will report directly to ... directly to the..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for ... and monitoring of the Autism Care Demonstration (ACD) including coordination of ... Member Plan (EFMP), auditing for..
Description The Behavioral Health Medical Director responsible for behavioral ... Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral ... strategy and/or operations. The Behavioral Health Medical..
... a company focused on the health and well-being of the people ... of Associate Vice President, Behavioral Health Strategy. In this role, you ... responsibility for evolving Humana's behavioral..
Description Humana's Enterprise Clinical Management team needs your clinical, business ... identify clinical opportunities to improve health outcomes and improve the value ... and improve the value of care for..
Description The Senior Quality Improvement Professional will focus organizational ... on improving Kentucky Medicaid clinical quality performance measures to achieve optimal ... to achieve optimal performance and quality for the..
... policy requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations ... Compliance Program, and FMS patient care and administrative policies as the ... decisions to ensure..
Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - ... Horizons is seeking a Senior Quality Program Delivery Professional who will ... who will manage and support quality improvement..