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... interactive team with broad exposure and scope within Humana. This position ... Humana. This position will work and collaborate with leaders across the ... with external vendors, drug manufacturers..
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... life cycle for Dental, Vision and Life products, from inception to ... life cycle for Dental, Vision and Life products, from inception to ... to meet target customer needs..
... our providers by implementing operational and clinical best practices in the ... adjustment methodology, understanding clinical suspects and appropriate clinical documentation and accurate coding. This role reports ... reports..
... of the facility. Provides management and leadership to the staff and physicians. Oversees the utilization management ... physicians. Oversees the utilization management and daily business operations to include .....
... Manager - Group Dental, Vision and Life in Tampa Florida Description ... product life cycle for Vision and Life products, with some cross-over ... to meet target customer needs..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ... Government Business's (HGB) Behavioral Health Medical Director will provide..
Description The Associate Director, Clinical Pharmacy monitors drug development ... Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support ... broad understanding of managed care and PBM..
... will manager between 50-125 patients***PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, ... FMCNA’s mission, vision, core values and customer service philosophy. Adheres to ... Program, including following all regulatory..
... interactive team with broad exposure and scope within Humana. This position ... Humana. This position will work and collaborate with leaders across the ... representing Humana with external vendors..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Tampa Florida Description ... profitability. This position will work and collaborate with leaders across the ... representing Humana with external..
... Pharmacy Product & Growth organization and will be responsible for leading ... role will develop new products and enhance existing capabilities to drive ... covered lives across Medicare, Medicaid..
Job Information Humana Director, Behavioral Health Network & Market ... in Tampa Florida Description The Director, Behavioral Health (BH) Network and Market Strategy will insure that ... the appropriate providers..
... provide corporate support to the Director of Provider Contracting and is responsible for assuring that ... area network plans are executed and desired government network goals are ... is..
Description The Behavioral Health Medical Director responsible for behavioral health care ... for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex .....
... authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests ... technical approach for project components, and work is performed without direction...
... product life cycle for Vision and Life products, with some cross-over ... to meet target customer needs and achieve cost and success outcomes. Once products are ... Lead monitors..
Description The Director, Coding and Risk Adjustment ensures coding is ... Adjustment ensures coding is accurate and properly supported by clinical documentation ... the health record. Follows state and federal..
... caring for family, friends, finances, and personal life goals. It's about ... associates to be happier, healthier, and more productive in their professional ... more productive in their professional..
... delivery process. The National Medicaid Director of Clinical Strategy and Practice builds strategies and policy for development, engagement, best ... development, engagement, best clinical practices and processes for the..
... to maximize healing, patient care and wellness Recognized as leader in ... as leader in patient satisfaction and was named Top 100 Hospital ... specialists, women’s imaging, pelvic floor..
