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Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... you succeed, we succeed! The Manager, Utilization Management Nursing..
... TA Heads, CMT Leads, Development, Regulatory Affairs, and Market Access. Essential ... projects, data interpretation, protocol development, regulatory documents, scientific publications, and independent ... will have multiple cross-functional collaborative..
... keep themselves healthy. The Senior Manager has direct impact on customer ... Medical Information strategy for assigned project(s) or operations through consolidation of ... internal/external stakeholders as appropriate for..
... Compliance Program, including following all regulatory and FMS policy requirements. Ensure ... with all legal, compliance, and regulatory requirements and programs. Adheres to ... standards through meeting all ESRD..
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 ..
... with operational excellence. The Sr. Manager COE will support Clinical Operations ... applicable GCP/ICH guidelines and other regulatory requirements. This includes effective communication ... providers) Provide accurate and up-to-date..
Do you want to be part of an inclusive team that works to develop innovative therapies for patients? Every day, we are driven to develop and deliver innovative and effective new ..
Job Information Humana Senior Project Manager -- Remote in Chicago Illinois ... Chicago Illinois Description The Senior Project Manager manages all aspects of a ... manages all aspects of a..
Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..
... with operational excellence. The Sr. Manager COE Business Analyst will provide ... and areas of process and project prioritization in support of both ... of both drug and non-drug..
... provider experience, as well as project manage the market rollout end-to-end. ... Medicaid markets Create and manage project plans to ensure effective and ... and timelines for provider services..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..
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 ..
... and Scope: The Senior Biostatistics Manager supports a statistics lead on ... other key deliverables within that project - and/or he/she acts as ... for local projects or global..
