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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..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Las Vegas Nevada ... Vegas Nevada Description The Associate Director, Compliance Nursing reviews utilization management activities ... waste, and abuse. The..
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 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..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The Medical Director provides medical..
... and Risk Adjustment National Medical Director in Las Vegas Nevada Description ... and Risk Adjustment National Medical Director leads key strategic and operational ... clinical experience Knowledge of the..
MEDICAL DIRECTOR / 100% ADMINISTRATIVErnrnrnDescriptionrnrnrnrnMedical DirectorrnOverall Purpose:rnThe ... 100% ADMINISTRATIVErnrnrnDescriptionrnrnrnrnMedical DirectorrnOverall Purpose:rnThe Medical Director is responsible for medical oversight ... discharge planning and transitions of care to the appropriate level...
Description The Senior Compliance Professional will work with Humana ... will work with Humana Primary Care Organization's internal business partners to ... partners to oversee and track compliance issues, trend..
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 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..
... in an assigned area ensuring compliance with established company and regulatory ... dialysis services and outstanding patient care to the community. Participates in ... growth of area while ensuring..
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 Director, Physician Leadership relies on medical ... and reviews health claims. The Director, Physician Leadership requires an in-depth ... function or segment. Responsibilities The Director, Physician Leadership provides..
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..
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..
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..
