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... drug manufacturers and providers. The Director, Pharmacy Clinical Formulary and Medical Strategies requires a broad understanding ... broad understanding of pharmacy, managed care, and specialty to develop and/or .....
... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... appropriate criteria to make a medical necessity determination. Complete telephonic, faxed, ... Assess discharge plans Coordinates with..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline ... external vendors and providers. The Director, Pharmacy Clinical Trend and Pipeline ... understanding of pharmacy and managed care to develop..
Job Information Humana Medical Director of Long Term Care, Florida in Washington District Of ... Columbia Description The Long Term Care Medical Director supports the Long Term Care program in..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
Job Information Humana Oncology Market Director in Washington District Of Columbia ... Of Columbia Description The Market Director, Oncology leverages targeted geographic analysis, ... Pharmacy for fulfillment. The Market Director,..
Description The Director, Health Services Nursing serves as ... clinical (inpatient and some OP medical necessity oversight ) decisions, as ... building out clinical capabilities. The Director will be responsible..
... vendors and providers. Responsibilities The Director, HPS Clinical Programs requires a ... broad understanding of pharmacy, managed care, and patient centered clinical programs ... broad understanding of pharmacy, managed..
Description The Senior Nursing Quality Outcomes Coordinator will partner with Hospital Quality, Safety, Regulatory and Hospital Risk as well as all leaders within the Division of Nursing to oversee or lead ..
