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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 Overland Park ... Park Kansas Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
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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..
Job Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) in Overland Park Kansas Description ... Overland Park Kansas Description The Director, Behavioral Health (BH) Network and Market Strategy..
Job Information Humana Director of Public Policy in Overland ... Overland Park Kansas Description The Director of Public Policy role resides ... not limited to, Medicare Advantage, health IT, interoperability,..
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..
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, Medicaid Strategic Solutions in Overland Park ... Overland Park Kansas Description Humana Medicaid is seeking exceptional candidates to ... exceptional candidates to join our Medicaid Product..
... 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..
... 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 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 Description Aetna Better Health of Kansas is looking for ... looking for an LTSS (long-term services and supports) clinical officer / ... supports) clinical officer / medical director to..
Job Information Humana Director, Behavioral Health Strategy in Overland Park Kansas ... Overland Park Kansas Description The Director, Behavioral Health (DBH) will ensure that populations ... quality care for their..
... and Risk Adjustment National Medical Director in Overland Park Kansas Description ... and Risk Adjustment National Medical Director leads key strategic and operational ... managed care industry including Medicare,..
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..
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 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,..