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Description The Director of Health Services for National Medicaid Clinical Operations ... documentation and communication of medical services and/or benefit administration determinations. The ... and/or benefit administration determinations. The Director,..
... 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 Director, Contract Tools, Education, Processes (remote ... District Of Columbia Description The Director, Contract Tools, Education, Processes manages ... best in class knowledge. The Director, Contract Tools,..
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 ..
Job Information Humana Medical Director - National Medicare Team in ... Of Columbia Description The Medical Director relies on medical background and ... and reviews preauthorization requests for services. The..
Job Information Humana Director, Behavioral Health Strategy in Washington ... District Of Columbia Description The Director, Behavioral Health (DBH) will ensure ... their behavioral health needs. The Director, Behavioral Health..
Description The Medical Director actively uses their medical background, ... to make determinations whether requested services, requested level of care, and/or ... work. Responsibilities Job Title: Medical Director Location: Work..
... Job Description Summary The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Description The Medical..
... minimal supervision as the provider services Medicaid subject matter expert. Uses ... This position reports to the Director of Provider Experience and Network ... improvement and project management Supports..
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 UM Medical Director - Conviva in Washington District ... Of Columbia Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director..
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..
... 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..
... a subsidiary of Universal Health Services, Inc. (UHS), one of the ... research. ED / ER Nursing Director - Trauma Emergency Room (Full ... Hospitals Service Excellence Standards. The..
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 ..
... Information Humana Regional VP, Health Services (Mid-Atlantic Region) in Washington District ... Description The Regional VP, Health Services relies on medical background and ... claims. The Regional VP, Health..
Job Information Humana Director, State Public Policy in Washington ... District Of Columbia Description The Director of State Public Policy role ... care, clinical and financial transparency, social determinants of..
... Medicare Appeals and Grievance Medical Director in Washington District Of Columbia ... Of Columbia Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical..
... The Lead Behavioral Health Medical Director oversees the work of 2 ... The Lead Behavioral Health Medical Director may also lead specific functional ... Directors. Responsibilities The Lead Medical..
Description The Medical Director actively uses their medical background, ... to make determinations whether requested services, requested level of care, and/or ... work. Responsibilities Title: Commercial Medical Director Location: Work..
