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Description The Hospital Engagement Executive will interface with ... Executive will interface with contracted Hospital Systems in the Northeast to ... objectives. This person represents the Humana/Hospital relationship internally and..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Commercial requirements ... daily work. Responsibilities Title:..
Job Information Humana Care Team Medical Director in Jersey City New ... Jersey Description The Care Team Medical Director is responsible for improving ... ground up. The Care Team Medical..
Job Information Humana Senior Stars Improvement, Clinical Professional (RN/LPN) - Remote NY, NJ, CT, MA, ME, NH in Jersey City New Jersey Description The Senior Stars Improvement, Clinical Professional (RN/LPN) role ..
... Stars and Risk Adjustment National Medical Director in Jersey City New ... clinical industry representative. As a leader, this role leads HQRI's Provider ... nationally. This role relies on..
Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... a rotating basis Responsibilities The Medical..
... your talents to an industry leader in medical technology and healthcare solutions were ... healthcare solutions were a market leader and growing every day. You ... can be proud..
... information for the system and medical laboratories' clients. Phlebotomist II can ... Specialist or Supervisor and Team Leader. Provides for timely transport of ... (NA), certified nursing assistant (CNA),..
Job Information Humana UM Medical Director - Conviva in Jersey ... City New Jersey Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
... initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ... day of employment. Benefits include: Medical Benefits Dental Benefits Vision Benefits ... physician groups, ancillary providers and/or..
Job Information Humana Healthcare Strategy Consultant in Jersey City New Jersey Description The Healthcare Strategy Consultant provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence ..
422 GRAND STREET,Jersey City,New Jersey,07302,United States of America Excellent Paid Dialysis Training Provided No Dialysis or Healthcare experienced required Full-Time variable schedule Monday through Saturday, 3-4 days a week, Sundays OFF ..
Description The Lead Behavioral Health Medical Director oversees the work of ... oversees the work of 2 Medical Directors who conduct clinical case ... themselves. The Lead Behavioral Health Medical..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... their daily work. Responsibilities..
418 Summit Avenue,Jersey City,New Jersey,07306,United States of America DaVita is seeking a Patient Care Technician who is looking to give life in an outpatient dialysis center. You can make an exceptional ..
Description The Behavioral Health Medical Director makes determinations regarding prior ... Humana coverage policies and determinations, medical necessity criteria, clinical reference materials, ... conferences, and other reference sources. Medical Directors..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations for Humana's Kentucky Medicaid Plan. The Utilization ..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Jersey City New Jersey Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP ..
Description The Medical Director's primary responsibility is the ... responsibility is the review of medical authorizations or claims to determine ... or claims to determine the medical necessity of a..
Job Information Humana Strategy Advisor, Healthcare Strategy in Jersey City New Jersey Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction to identify and address business issues and opportunities. Provides ..
Job Information Humana Provider Contracting Executive - National Transplant Network in Jersey City New Jersey Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..
