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Description Humana's Medicaid Behavioral Health Medical Director will oversee our behavioral health (BH) clinical program for Medicaid plan members. They will collaborate ... Officer (CMO) and the Behavioral Health Administrative..
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... for all customers. Influences HBG's health services strategy by making decisions on ... care organization to include Medicare, Medicaid, TRICARE and/or Commercial products Deep ... TRICARE contracts and/or the..
... 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..
Description The Medical Director actively uses their medical background, ... to make determinations whether requested services, requested level of care, and/or ... work. Responsibilities Title: Commercial Medical Director Location: Work..
Description The Health Equity Director is responsible for setting direction ... establishing strategy to advance equitable health outcomes for our members in ... Ohio. To achieve this, the Health Equity..
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 The Associate Director, Care Management leads teams of ... teams of nurses and behavior health professionals responsible for care management. ... for care management. The Associate Director, Care Management..
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 Dental Director (part-time) provides dental interpretation and ... decisions about the appropriateness of services provided by other healthcare professionals ... and responsibilities of the Dental Director include: Develop..
Description The Medical Director relies on medical background and ... on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Title:..
Description Humana's National Medicaid Quality team is seeking a ... be responsible for supporting individual Medicaid market quality teams and serving ... to the corporate level National Medicaid Quality team..
Description The Director, Population Health Strategy is responsible for improving ... defined group of people. The Director, Population Health Strategy requires an in-depth understanding ... Goal is to improve the..
Description The Associate Director, Quality Improvement implements quality improvement ... and annual evaluation. The Associate Director, Quality Improvement requires a solid ... across department(s). Responsibilities The Associate Director, Quality Improvement..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support ... documentation, and communication of medical services and/or benefit administration determinations. The ... determinations...
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..
Job Information Humana Behavioral Health Administrative Director in Cincinnati Ohio Description The ... Cincinnati Ohio Description The Behavioral Health Administrative Director builds strategies for development, engagement, ... community within 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 Provider Services (State of OH) in Cincinnati ... in Cincinnati Ohio Description The Director Medicaid Provider Services oversees the plan's strategic provider ... oversees the..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Cincinnati Ohio ... Cincinnati Ohio Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
Description The Director, Quality Improvement implements quality improvement ... plan, and annual evaluation. The Director, Quality Improvement requires an in-depth ... interrelate across departments. Responsibilities The Director, Quality Improvement provides..
Description The Associate Director, Utilization Management Nursing uses clinical ... most appropriate treatment, care or services for members. Coordinates and communicates ... with the terms of the Medicaid contract. Provide..
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..
