Social Services Director Jobs

... Information Humana Care Team Medical Director in Colorado Springs Colorado Description ... Description The Care Team Medical Director is responsible for improving the ... and shaping the necessary tech-enabled..

Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Colorado ... Springs Colorado Description The Associate Director, Utilization Management Nursing utilizes clinical ... documentation and communication of medical services..

Job Information Humana Medical Director - Florida Medicaid in Colorado ... Springs Colorado Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

... team is expanding our shared services organization to enhance the clinical ... delivery process. The National Medicaid Director of Clinical Strategy and Practice ... community within the enterprise. The..

Job Information Humana UM Medical Director - Conviva in Colorado Springs ... Springs Colorado Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director..

Description The Medical Director actively uses their medical background, ... to make determinations whether requested services, requested level of care, and/or ... daily work. Responsibilities The Medical Director's work includes..

Description The Director, Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking and forecasting, supports financial sales analysis and market event news. This position will work and collaborate with ..

Job Information Humana Medical Director of Trend Analytics in Colorado Springs Colorado Description Humana's ECM organization is seeking a Medical Director of Trend Analytics. As a clinical trend leader you will ..

Job Information Humana Medical Director - S. Florida in Colorado ... Springs Colorado Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

Description The Medical Director's primary responsibility is the review ... level of care. The Medical Director's work assignments involve moderately complex ... knowledge of both medicine and social determinants of..

Job Information Humana Director of Public Policy in Colorado ... Colorado Springs Colorado Description The Director of Public Policy role resides ... Centers for Medicare and Medicaid Services (in partnership..

Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... reviews for inpatient and outpatient services to ensure that members receive ... clinically appropriate and medically necessary services...

Job Information Humana Medical Director - National Medicare Team in ... Springs Colorado Description The Medical Director relies on medical background and ... and reviews preauthorization requests for services. The..

Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ..

... Medicare Appeals and Grievance Medical Director in Colorado Springs Colorado Description ... Springs Colorado Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical..

Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The Medical Director provides medical..

Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The Medical Director actively uses..

Job Information Humana Medical Director - Texas in Colorado Springs ... Springs Colorado Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

... challenge and change.' The Associate Director, Technology Solutions devises an effective ... IT business initiatives. The Associate Director, Technology Solutions requires a solid ... across department(s). Responsibilities The Associate..

Job Information Humana Director, State Public Policy in Colorado ... Colorado Springs Colorado Description The Director of State Public Policy role ... care, clinical and financial transparency, social determinants of..

Description The Medical Director actively uses their medical background, ... to make determinations whether requested services, requested level of care, and/or ... daily work. Responsibilities The Medical Director's work includes..

Job Information Humana Director, Behavioral Health Strategy in Colorado ... Colorado Springs Colorado Description The Director, Behavioral Health (DBH) will ensure ... their behavioral health needs. The Director, Behavioral Health..

... Genesis Healthcare Marketing and Admissions Director in Colorado Springs Colorado Genesis ... nation's leading provider of healthcare services from short-term to long-term care ... living options and professional clinical..