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Description Humana Military is the Managed Care Support Contractor (MCSC) for the ... processing operations and systems. The Director, Claims Oversight plays a vital ... individual in this role will..
Description The Director of Health Services for National ... and/or benefit administration determinations. The Director, Health Services requires an in-depth ... the clinical delivery process. The Director of Health Services..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director will provide..
... and Risk Adjustment National Medical Director in Washington District Of Columbia ... and Risk Adjustment National Medical Director leads key strategic and operational ... clinical experience Knowledge of the..
Job Information Humana Director, Contract Tools, Education, Processes (remote ... in Bethesda Maryland Description The Director, Contract Tools, Education, Processes manages ... best in class knowledge. The Director, Contract Tools,..
Description The Medical Director actively uses their medical background, ... requested services, requested level of care, and/or requested site of service ... within a context of regulatory compliance, and work..
Description The Director, Strategy Advancement provides data-based strategic ... along the way. Responsibilities The Director, Retail Strategy & Product Advancement ... and insights working within a Managed Care Plan. An..
Description The Care Manager, Telephonic Nurse 2 , ... with resources appropriate for the care and wellbeing of members. Responsibilities ... Eastern Time Zone The Transplant Care Manager, Telephonic Nurse..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Bethesda Maryland Description ... Bethesda Maryland Description The Associate Director, Compliance Nursing reviews utilization management activities ... waste, and abuse. The..
Job Information Humana Director, Contract Tools, Education, Processes (remote ... District Of Columbia Description The Director, Contract Tools, Education, Processes manages ... best in class knowledge. The Director, Contract Tools,..
... and Risk Adjustment National Medical Director in Bethesda Maryland Description The ... and Risk Adjustment National Medical Director leads key strategic and operational ... clinical experience Knowledge of the..
Description The Director, Pharmacy Clinical Formulary and Medical ... the formulary strategies. Responsibilities The Director, Pharmacy Clinical Formulary and Medical ... a broad understanding of pharmacy, managed care, PBM, market..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... within a context of regulatory compliance, and work is assisted by ... daily work. Responsibilities The Medical Director..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral ... operations. The Behavioral Health Medical Director work assignments involve moderately complex ... Business's..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The Medical Director actively uses..
Director - Ambulatory Transformation (EVERGREEN)','2300016R','!*!The Director of Ambulatory Transformation (AT) reports ... reports directly to the Executive Director, Ambulatory Services, CNH and collaborates ... roadmap of Ambulatory Transformation. The Director..
Description The Medical Director's primary responsibility is the review ... given service or level of care. The Medical Director's work assignments involve moderately complex ... of health. Responsibilities The Medical..
... seeking a dedicated and dynamic Director of Obstetric and Neonatal Nursing ... its a beacon of acute care excellence and patient-centered compassion.Your mission, ... seamless symphony of operations, upholding..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Washington District Of ... Of Columbia Description The Associate Director, Compliance Nursing reviews utilization management activities ... waste, and abuse. The..
