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Description The Director, Strategy Advancement provides data-based strategic ... making real improvements in member health outcomes. We're strategic and analytical, ... along the way. Responsibilities The Director, Retail Strategy &..
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Job Information Humana Medicaid Associate Director, Compliance Nursing in Albuquerque New ... New Mexico Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
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..
Description The Medical Director actively uses their medical background, ... to make determinations whether requested services, requested level of care, and/or ... daily work. Responsibilities The Medical Director's work includes..
Job Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) in Albuquerque New Mexico Description ... Albuquerque New Mexico Description The Director, Behavioral Health (BH) Network and Market Strategy..
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...
Job Information Humana Director, Medicaid Strategic Solutions in Albuquerque New ... Albuquerque New Mexico Description Humana Medicaid is seeking exceptional candidates to ... exceptional candidates to join our Medicaid Product..
Description The Medical Director's primary responsibility is the review ... level of care. The Medical Director's work assignments involve moderately complex ... medicine and social determinants of health. Responsibilities The..
Description The Director, Pharmacy Clinical Formulary and Medical ... lines of business (Medicare, Commercial, Medicaid). This position will work and ... the formulary strategies. Responsibilities The Director, Pharmacy Clinical Formulary..
... 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..
Job Information Humana Director of Public Policy in Albuquerque ... Albuquerque New Mexico Description The Director of Public Policy role resides ... not limited to, Medicare Advantage, health IT, interoperability,..
Job Information Humana Director, Behavioral Health Strategy in Albuquerque New Mexico ... Albuquerque New Mexico Description The Director, Behavioral Health (DBH) will ensure that populations ... quality care for their..
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..
... the leading providers of healthcare services from short-term to long-term care ... living options and professional clinical services. We are changing how care ... the next level as a..
Description The Medical Director relies on medical background and ... on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The..
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..
... and Risk Adjustment National Medical Director in Albuquerque New Mexico Description ... and Risk Adjustment National Medical Director leads key strategic and operational ... managed care industry including Medicare,..
... 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 Medical Director relies on medical background and ... on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The..
