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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 Ridgeland Mississippi Description ... Ridgeland Mississippi 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'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..
Job Information Humana UM Medical Director - Conviva in Ridgeland Mississippi ... Ridgeland Mississippi Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director..
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 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 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 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..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in ... Ridgeland Mississippi Description The Medical Director relies on clinical background and ... Medicare drug requests. The Medical director work..
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 actively uses..
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 Ridgeland Mississippi Description The ... and Risk Adjustment National Medical Director leads key strategic and operational ... clinical experience Knowledge of the..
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 Director, Informatics in Ridgeland Mississippi Description ... in Ridgeland Mississippi Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..
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..
