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... responsibility for trend management. *Oversee regional utilization management and case management ... communications. *Oversee administrative budget for regional HSO & Quality Improvement including ... offices and IPAs. *Participate in..
... Carolina Description Responsibilities Humana's Corporate Marketing team is looking for a ... engagement. Key Responsibilities Collaborate with Marketing, regional Neighborhood Center leadership and other ... Qualifications Bachelor's degree, preferably..
Job Information Humana Senior Market Development Professional - Remote Opportunity in Lancaster South Carolina Description The Senior Market Development Professional will be instrumental in driving the CNFL Region's product strategy and ..
... or community groups to support regional market priorities, which may include ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
... Lancaster South Carolina Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... across the enterprise to support..
... of services provided by other healthcare professionals in compliance with review ... or community groups to support regional market priorities, which may include ... whether services provided by other..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
... 50 market leader in integrated healthcare delivery. As a company whose ... Humana is seeking an accomplished healthcare leader for the position of ... leader for the position of..
... in Lancaster South Carolina Description Healthcare isn't just about health anymore. ... of our members, and the healthcare industry. Responsibilities In this role, ... the organization in recruiting and..
Description The Healthcare Financial Analyst collects, analyzes, and ... Central Region is seeking a Healthcare Financial Analyst to partner closely ... role will have exposure to regional leadership and external..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
Description Healthcare isn't just about health anymore. It is about caring for family, friends, finances, and personal life goals. It's about living life fully. At the Primary Care Organization, a division ..
... Lancaster South Carolina Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
... state. Responsibilities The VP, Medicaid Regional President manages the development, operations, ... from across the Medicaid and healthcare industry Effectively support the growth ... Required Bachelor's degree in Business,..
