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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 Pittsburgh Pennsylvania Description The ... Pennsylvania Description The Care Team Medical Director is responsible for improving the ... unique opportunity to be..
... support and guidance of your director, regional peers and the greater ... somewhere, but are an intentional part of everything we do. As ... you. Partner with Regional Operations..
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..
Job Information Humana Oncology Market Director in Pittsburgh Pennsylvania Description The ... Pittsburgh Pennsylvania Description The Market Director, Oncology leverages targeted geographic analysis, ... Pharmacy for fulfillment. The Market Director,..
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..
... 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..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Pittsburgh ... Pittsburgh Pennsylvania Description The Associate Director, Utilization Management Nursing utilizes clinical ... coordination, documentation and communication of medical..
... outpatient setting. * Be a part of a team that supports ... Staff RNs are a central part of a small interdisciplinary team ... most including: * Comprehensive benefits:..
Job Information Humana Associate Director, Technology Solutions in Pittsburgh Pennsylvania ... in the role of Associate Director, Technology Solutions to as a ... training, etc. Reports to a Director in..
... to become a Regional Operations Director. Your success is driven by ... most including: * Comprehensive benefits: Medical, dental, vision, 401(k) match, paid ... dental, vision, 401(k) match, paid..
Do you want to be part of an inclusive team that ... If you want to be part of this exciting work, you ... to turning innovative science into medical..
... Humana Medicare Appeals and Grievance Medical Director in Pittsburgh Pennsylvania Description The ... in Pittsburgh Pennsylvania Description The Medical Director relies on fundamentals of CMS ... and reviewing appeals..
... a Social Worker with Fresenius Medical Care, you will provide psychosocial ... Manager, Senior Manager and Senior Director. Our culture: We believe our ... that sets us apart.At Fresenius..
... outcomes, and process efficiencies. Completes medical necessity and level of care ... Educates providers on utilization and medical management processes. Enters and maintains ... pertinent clinical information in various..
... 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..