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Description The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare, requires and in-depth understanding ..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... of variable factors. Responsibilities..
Job Information Humana Care Team Medical Director in Green Bay Wisconsin Description ... Wisconsin Description The Care Team Medical Director is responsible for improving the ... unique opportunity to be..
Job Information Humana Director, Population Health Strategy in Green ... Green Bay Wisconsin Description The Director, Population Health Strategy is responsible ... defined group of people. The Director, Population Health..
... Product Manager role is a part of the Pharmacy Product & ... across Medicare, Medicaid and Commercial medical and pharmacy insurance products. Although ... include nurses, pharmacists and regional..
Description The Director, Pharmacy Clinical Pipeline oversees the ... Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking ... and finance teams. Responsibilities The Director, Pharmacy Pipeline requires..
... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... appropriate criteria to make a medical necessity determination. Complete telephonic, faxed, ... Case Management Discuss cases with..
... Humana Medicare Appeals and Grievance Medical Director in Green Bay Wisconsin Description ... Green Bay Wisconsin Description The Medical Director relies on fundamentals of CMS ... and reviewing appeals..
... iCare is seeking an Associate Director, Medicaid Care Management who will ... SSI Medicaid programs. The Associate Director, Medicaid Care Management role requires ... across departments. Responsibilities The Associate..
Description The Medical Director relies on fundamentals of CMS ... and reviewing appeals for Medicare Part C Line of Business. The ... C Line of Business. The Medical Director provides..
... iCare is seeking an Associate Director, Medicare Care Management who will ... for care management. The Associate Director, Medicare Care Management role requires ... across departments. Responsibilities The Associate..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Green ... Bay Wisconsin Description The Associate Director, Utilization Management Nursing utilizes clinical ... coordination, documentation and communication of medical..
... Healthy Horizons is seeking a Medical Director to help develop and execute ... develop initiatives to address women's medical and behavioral needs for adolescents, ... role requires strong collaboration..
Job Information Humana Oncology Market Director in Green Bay Wisconsin Description ... Bay Wisconsin Description The Market Director, Oncology leverages targeted geographic analysis, ... Pharmacy for fulfillment. The Market Director,..
... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... Behavioral Health Professional 2 completes medical record reviews from medical records sent from Behavioral Health ... appropriate..
Job Information Humana Lead Product Manager - Healthcare API in Green Bay Wisconsin Description The Lead Product Manager - Healthcare API (SME) as part of Humana's Enterprise API product team, is ..
... they are Financial Protection is part of Specialty Benefits and supports ... technical projects Proven excellent communication, time/project management, problem solving, organizational, and ... Service Healthcare Engineering Previous Job:..