THE LARGEST COLLECTION OF JOBS ON EARTH
healthcare
Supports PDF, DOC, DOCX, TXT, XLS, WPD, HTM, HTML files up to 5 MB
... charged with administering the TRICARE health plan in the East Region. ... processing operations and systems. The Director, Claims Oversight plays a vital ... relate to claims. Responsibilities The..
Sign In or Sign Up in seconds to view this job on EmploymentCrossing.
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 ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Colorado Springs ... Springs Colorado Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
... 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..
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..
... and Risk Adjustment National Medical Director in Colorado Springs Colorado Description ... and Risk Adjustment National Medical Director leads key strategic and operational ... managed care industry including Medicare,..
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..
... 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..
Job Information Humana Director of Public Policy in Colorado ... Colorado Springs Colorado Description The Director of Public Policy role resides ... not limited to, Medicare Advantage, health IT, interoperability,..
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..
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..
Job Information Humana Director, Medicaid Strategic Solutions in Colorado Springs ... Colorado Springs Colorado Description Humana Medicaid is seeking exceptional candidates to ... exceptional candidates to join our Medicaid Product..
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..
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 &..
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..
Job Information Humana Director, Behavioral Health Strategy in Colorado Springs Colorado ... Colorado Springs Colorado Description The Director, Behavioral Health (DBH) will ensure that populations ... quality care for their..
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..
Job Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) in Colorado Springs Colorado Description ... Colorado Springs Colorado 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...
