Health Services Director Wisconsin Jobs in Green Bay

... 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..

... leader and innovator in the health and wellness industry. A passionate ... culture. We're not just a health insurance company: our diverse lines ... integrates insurance with high value..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Green Bay ... Compliance Nursing in Green Bay Wisconsin Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and..

Description The Director, Pharmacy Clinical Formulary and Medical ... the formulary strategies. Responsibilities The Director, Pharmacy Clinical Formulary and Medical ... to mitigate cost while improving health outcomes. He/she requires..

Description The Director of Product Management for Clinical ... business acumen. Responsibilities As the Director of Product Management for Clinical ... cross-functional teams to create meaningful health care experiences. If..

Job Information Humana Director of Public Policy in Green ... Public Policy in Green Bay Wisconsin Description The Director of Public Policy role resides ... not limited to, Medicare Advantage,..

... a company focused on the health and well-being of the people ... personalized medication list, and manage health care needs protected by secure ... selection, benefits utilization, getting behavioral..

... team is expanding our shared services organization to enhance the clinical ... delivery process. The National Medicaid Director of Clinical Strategy and Practice ... community within the enterprise. The..

Job Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) ... Strategy (Medicaid) in Green Bay Wisconsin Description The Director, Behavioral Health (BH) Network and Market Strategy ... models..

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, State Public Policy in Green ... Public Policy in Green Bay Wisconsin Description The Director of State Public Policy role ... include but not limited to,..

Job Information Humana Director, Informatics in Green Bay Wisconsin Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires an in-depth understanding .....

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..

... Horizons is seeking a Medical Director to help develop and execute ... to make determinations on requested services and appropriate level of care. ... clinical leadership teams to improve..

Description Responsibilities The Director, Health Services uses clinical knowledge, communication and ... most appropriate treatment, care or services for members. The Director, Health Services will: Interact with and engage .....

... and Risk Adjustment National Medical Director in Green Bay Wisconsin Description The Healthcare Quality Reporting ... and Risk Adjustment National Medical Director leads key strategic and operational ... documentation..

Job Information Humana Director, Medicaid Strategic Solutions in Green ... Strategic Solutions in Green Bay Wisconsin Description Humana Medicaid is seeking ... company committed to improving the health of the..

Description The Director, Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking and forecasting, supports financial sales analysis and market event news. This position will work and collaborate with ..

Job Information Humana Director, Population Health Strategy in Green Bay Wisconsin Description The Director, Population Health Strategy is responsible for improving ... defined group of people. The Director, Population Health..

Job Information Humana Director, Behavioral Health Strategy in Green Bay Wisconsin Description The Director, Behavioral Health (DBH) will ensure that populations ... quality care for their behavioral health needs. The..

... a company focused on the health and well-being of the people ... personalized medication list, and manage health care needs protected by secure ... selection, benefits utilization, getting behavioral..

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, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes ... hospital, and/or other provider behavioral health contracts for an organization that ... organization that provides managed Medicaid..