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VP, Medicare Regional President The candidate establishes long-range goals, objectives, and plans; monitors financial and operational performance; and coordinates activities of senior managers and their respective functions. Represents the health plan ..
Description The Regional VP, Operations in the Mid-Atlantic ... outcomes with operational effectiveness. The Regional VP, Operations requires an in-depth ... and margin targets. Responsibilities The Regional Vice President, Operations,..
Description The Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or ..
... under the guidance of the regional clinical director (RCD). Demonstrate the ... a strong rapport with the healthcare consumer, host and community. Represent ... *Support inventory processes. *Participate in..
Job Information Humana Broker Relationship Manager in Richmond Virginia Description Are you passionate about contributing to the well-being of the Medicare population? Would you like to play an integral and strategic ..
Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... home anywhere The Senior Product Manager ideates,..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
Description The Regional VP will be accountable for ... strategic provider relationships at the regional level for all product lines. ... strategy Report directly to the Regional President Responsibilities Responsibilities..
... or community groups to support regional market priorities, which may include ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..
Job Information Humana Regional VP, Health Services (Mid-Atlantic Region) ... Glen Allen Virginia Description The Regional VP, Health Services relies on ... and reviews health claims. The Regional VP, Health..
... plain cool. Think critically about healthcare problems and/or opportunities to advance ... Do research on improving the healthcare of millions. Exciting opportunity to ... Spine Team. As a Territory..
... 50 market leader in integrated healthcare delivery. As a company whose ... Humana is seeking an accomplished healthcare leader for the position of ... leader for the position of..
Job Information Humana Broker Relationship Manager - VA, MD, & DE in Glen Allen Virginia Description Job Description Summary Are you passionate about contributing to the well-being of the Medicare population? ..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
Description The Account Manager is responsible for managing and ... with hospice clients. The Account Manager works to ensure that Enclara ... extended service offerings. The Account Manager works in..
Job Information Humana Regional VP Provider Engagement & Contracting ... Glen Allen Virginia Description The Regional VP will be accountable for ... strategic provider relationships at the regional level for..
Description The Regional Market Operations Professional will support ... appropriate NP utilization. Responsibilities The Regional Market Operations Professional assesses organizational ... input to strategy Market Clinical Manager to manage clinical..
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 Regional Pharmacy Sales, VP in Glen ... nation's largest full-service pharmacy benefits manager (PBM) specifically for the hospice ... and excellent customer service. The Regional Pharmacy Sales,..
... Glen Allen Virginia Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... across the enterprise to support..