Health Services Director Medicaid Jobs in Glen Allen

... 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..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Glen Allen ... Allen Virginia Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..

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 of Public Policy in Glen ... Glen Allen Virginia Description The Director of Public Policy role resides ... not limited to, Medicare Advantage, health IT, interoperability,..

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 of Public Policy in Richmond ... in Richmond Virginia Description The Director of Public Policy role resides ... not limited to, Medicare Advantage, health IT, interoperability,..

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...

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, 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..

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..

... 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..

... 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, Medicaid Strategic Solutions in Glen Allen ... Glen Allen Virginia Description Humana Medicaid is seeking exceptional candidates to ... exceptional candidates to join our Medicaid Product..

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 Glen Allen Virginia Description ... and Risk Adjustment National Medical Director leads key strategic and operational ... managed care industry including Medicare,..

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, Behavioral Health Strategy in Glen Allen Virginia ... Glen Allen Virginia Description The Director, Behavioral Health (DBH) will ensure that populations ... quality care for their..

... 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..

... 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, Behavioral Health Network & Market Strategy (Medicaid) in Glen Allen Virginia Description ... Glen Allen Virginia Description The Director, Behavioral Health (BH) Network and Market Strategy..

... 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 Humana is expanding its Medicaid footprint. We are seeking Medicaid State Leaders. The State Market ... for the local Department of Medicaid Services regarding all issues and will .....

Job Information Humana Regional VP, Health Services (Mid-Atlantic Region) in Glen Allen ... Virginia Description The Regional VP, Health Services relies on medical background and ... on medical background and..