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Description The Clinical Strategy & Practice Lead will oversee our behavioral health (BH) clinical program for Oklahoma's Medicaid plan enrollees. They will collaborate closely with the Health Services Director and RVP, ..
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Description Humana's Lead Program Integrity Investigator will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance program to prevent and detect potential FWA activities pursuant to state ..
Description The Medicaid Oklahoma Pharmacy Director monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, ..
We Are Hiring Certified Medical Assistant- Clinic 404 BMP Ascension Healthcare/St. John Health System , Our office is the perfect location to provide clinical care to our community. Supported by a ..
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 ..
Job Information Humana Research Consulting Lead in Tulsa Oklahoma Description The ... Oklahoma Description The Research Consulting Lead performs basic observational and experimental ... business decisions. The Research Consulting Lead..
Description The Behavioral Health Parity Compliance Lead will play an integral role in the oversight and management of our Mental Health Parity Compliance Program. Responsibilities This role is responsible for monitoring ..
Description The Senior Physician Recruiter recruits qualified physicians for ... assists in development of strategic physician recruitment plans. The Senior Physician Recruiter work assignments involve moderately ... variable factors. Responsibilities..
Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new ..
Description Job Description Summary The Medicaid Oklahoma Pharmacy Director monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM ..
Description The Clinical Pharmacy Advisor lead, overseeing Humana Pharmacy and Medical ... drive results. This individual will lead medical and pharmacy trend review ... over year medical trend review. Lead..
Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..
Description Come join the Digital Health & Analytics (DH&A) team within Humana to build a world class Data Science and Insights enterprise capability leveraging digital-first platforms, analytics, and agile development methodologies. ..
... drug therapy optimization. Oversee and lead the specialty drug clinical program ... updates, and market event notifications. Lead the analysis and generation of ... and continuously improve the process...
Description The Lead Product Manager for Specialty products ... marketplace. Responsibilities Position Overview The Lead Product Manager Leads all phases ... outcomes. Once products are launched, Lead monitors efficacy of..
Description The Strategy Advancement Advisor provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence and strategic planning support for business segments or the company at ..
Job Information Humana Senior Accreditation Professional in Tulsa Oklahoma Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance with ..
Description As Lead Actuary of the Risk Predictive Models team, you have an opportunity to both learn more about predictive analytics and machine learning and to see it become very real ..
Description The Inbound Contacts Representative 1 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs administrative/operational/customer support/computational tasks. Typically works within a framework ..
Description Be a part of the CenterWell leadership team, a subsidiary whose purpose is to provide care management program support resources to physicians, physician groups, and integrated healthcare delivery systems throughout ..
Job Information Humana Healthcare Lead Product Manager: Chinese and Korean Segment Medicare Advantage in Tulsa Oklahoma Description The Lead Product Manager Conceives of, develops, delivers, and manages products for Chinese and ..
Description The Medicaid Clinical Strategy Lead delivers new clinical technological solutions to meet Medicaid business needs within a specified scope while aligned to enterprise objectives. The Medicaid Clinical Strategy Lead works ..
Job Information Humana Healthcare Lead Product Manager: Hispanic Segment Medicare Advantage in Tulsa Oklahoma Description The Lead Product Manager Conceives of, develops, delivers, and manages products for Hispanic MA customer use. ..