Managed Care Compliance Director Jobs in Nebraska

Job Information Humana Medicaid Associate Director, Compliance Nursing in Omaha Nebraska Description ... Omaha Nebraska 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..

Job Information Humana Medical Director - Texas in Omaha Nebraska ... Omaha Nebraska Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

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 ... variable factors. Responsibilities The Medical Director provides medical..

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..

Job Information Humana Director, Informatics in Omaha Nebraska Description ... in Omaha Nebraska 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..

Job Information Humana Medical Director - National Medicare Team in ... Omaha Nebraska Description The Medical Director relies on medical background and ... requests for services. The Medical Director work..

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..

Job Information Humana UM Medical Director - Conviva in Omaha Nebraska ... Omaha Nebraska Description The Medical Director relies on medical background and ... reviews health claims. 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 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..

Job Information Humana Medical Director - S. Florida in Omaha ... Omaha Nebraska Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

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 ... variable factors. Responsibilities The Medical Director provides medical..

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..

... and Risk Adjustment National Medical Director in Omaha Nebraska 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..

Job Information Humana Medical Director - Medicare Pharmacy Appeals in ... Omaha Nebraska Description The Medical Director relies on clinical background and ... Medicare drug requests. The Medical director work..

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 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..