THE LARGEST COLLECTION OF JOBS ON EARTH
healthcare
Supports PDF, DOC, DOCX, TXT, XLS, WPD, HTM, HTML files up to 5 MB
Description The Director, QOCA Strategy - serves as the strategic leader in resource utilization; budget and MER oversight; vendor oversight; and for clinician and non-clinician flex associates and off-shore vendor associates ..
Sign In or Sign Up in seconds to view this job on EmploymentCrossing.
Description The Director of Health Services for National Medicaid Clinical Operations utilizes clinical skills ... documentation and communication of medical services and/or benefit administration determinations. The ... and/or benefit administration..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Tampa Florida ... Tampa Florida Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
Job Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) in Tampa Florida Description The ... in Tampa Florida Description The Director, Behavioral Health (BH) Network and Market Strategy..
Description The Director, Physician Leadership relies on medical ... on medical background and reviews health claims. The Director, Physician Leadership requires an in-depth ... function or segment. Responsibilities The Director,..
Description The Health Services Director leads teams of nurses and ... teams of nurses and behavior health professionals responsible for care management. ... responsible for care management. The Director, Care..
Job Information Humana Director, Care Management in Tampa Florida ... in Tampa Florida Description The Director of Care Management provides oversight ... ensure the company's Long Term Services and Support..
Job Information Humana Director of Public Policy in Tampa ... in Tampa Florida Description The Director of Public Policy role resides ... not limited to, Medicare Advantage, health IT, interoperability,..
... a company focused on the health and well-being of the people ... use for Humana's 8M Medicare, Medicaid and Pharmacy members Simplify and ... personalized medication list, and manage..
... and Risk Adjustment National Medical Director in Tampa Florida Description The ... and Risk Adjustment National Medical Director leads key strategic and operational ... managed care industry including Medicare,..
Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, and executes physician, ... hospital, and/or other provider behavioral health contracts for an organization that ... for an organization that provides..
... Horizons is seeking a Medical Director to help develop and execute ... the Vice President and CMO Medicaid. Responsibilities Medical Directors actively use ... to make determinations on requested..
Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, ... hospital, and/or other provider behavioral health contracts for an organization that ... an organization that provides..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... reviews for inpatient and outpatient services to ensure that members receive ... clinically appropriate and medically necessary services...
... a company focused on the health and well-being of the people ... their most productive. Humana's Florida Medicaid RVP, Operations (COO) will be ... of operations for Humana's Florida..
Job Information Humana Director, Medicaid Strategic Solutions in Tampa Florida ... in Tampa Florida Description Humana Medicaid is seeking exceptional candidates to ... exceptional candidates to join our Medicaid Product..
Job Information Humana Director, Behavioral Health Operations for Medicaid in Tampa Florida Description The ... in Tampa Florida Description The Director, Behavioral Health Operations for Medicaid will help build strategy..
Description As Humana's Medicaid membership continues to grow, the ... continues to grow, the National Medicaid Clinical Operations team is expanding ... team is expanding our shared services organization to..
... Job Description Summary The RVP Health Services relies on medical background to ... state of Florida. The RVP Health Services requires an in-depth understanding of ... segments and/or enterprise-wide...
Job Information Humana Director, Behavioral Health Strategy in Tampa Florida Description ... in Tampa Florida Description The Director, Behavioral Health (DBH) will ensure that populations ... quality care for their..
Description The Director, Health Services utilizes clinical nursing skills to ... documentation and communication of medical services and/or benefit administration determinations. The ... and/or benefit administration determinations. The Director, Health..
Job Information Humana Director, Provider Contracting LTC Medicaid, FL (Tampa preferred) in Tampa ... in Tampa Florida Description The Director, Network Development, Long Term Care ... the strategic development, including..
