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... KEY ACCOUNTABILITIES Process Improvement and Project Management Contributes to the identification ... projects, key insights, and ensure project milestones and deliverables are implemented ... manner Develops and manages detailed..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Job Locations: US-Virtual/Remote Category: Medical Coding Are you interested in joining one of the nation’s leading providers of medical coding services that is experiencing impressive year-over-year growth? Mommy Jobs Online is ..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Cincinnati Ohio Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the clinical ..
Job Information Humana UM Medical Director - Conviva in Cincinnati Ohio Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Job Information Humana Manager, Pharmacy and Medical Trend in Cincinnati Ohio Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and medical, ..
Job Information Humana Medical Director - National Medicare Team in Cincinnati Ohio Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments ..
Job Information Humana Medical Director - S. Florida in Cincinnati Ohio Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Description The Supervisor, Mail Operations Pharmacy Technician accurately fills and counts medications. The Supervisor, Mail Operations Pharmacy Technician works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Job Information Humana Provider Engagement Executive - Behavioral Health in Cincinnati Ohio Description The Behavioral Health Provider Engagement Executive utilizes their knowledge and skills to develop and grow positive, long-term relationships ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Job Information Humana Medical Director - Florida Medicaid in Cincinnati Ohio Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Job Information Humana Manager, Care Management in Cincinnati Ohio Description Responsibilities The Care Management Manager has responsibilities for the administration, clinical and operational management and compliance with Defense Health Agency policy, ..