Health Services Director Medicaid Jobs in Metairie

... 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 Metairie Louisiana ... Metairie Louisiana Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..

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 &..

Job Information Humana Behavioral Health Medical Director - Louisiana Medicaid in Metairie Louisiana Description Humana's ... Metairie Louisiana Description Humana's Louisiana Medicaid BH Medical Director will oversee our behavioral health..

Job Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) in Metairie Louisiana Description The ... in Metairie Louisiana 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..

... 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 Metairie ... in Metairie Louisiana 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..

Job Information Humana Director, Health Services Louisiana in Metairie Louisiana Description ... in Metairie Louisiana Description The Director, Health Services utilizes clinical nursing skills to ... documentation and communication of..

Job Information Humana Director, Behavioral Health Strategy in Metairie Louisiana Description ... in Metairie Louisiana Description The Director, Behavioral Health (DBH) will ensure that populations ... quality care for their..

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 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..

Job Information Humana Director, Population Health Strategy - Louisiana Medicaid in Metairie Louisiana Description The ... Metairie Louisiana Description The Population Health Strategy Director is responsible for improving the .....

... 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..

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,..

Job Information Humana Director, Provider Services - Louisiana Medicaid in Metairie Louisiana Description The ... in Metairie Louisiana Description The Director, Provider Engagement develops and grows ... contracted working relationship..

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..

... 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 Metairie Louisiana Description The ... and Risk Adjustment National Medical Director leads key strategic and operational ... managed care industry including Medicare,..

Job Information Humana Director, Medicaid Strategic Solutions in Metairie Louisiana ... in Metairie Louisiana Description Humana Medicaid is seeking exceptional candidates to ... exceptional candidates to join our Medicaid Product..