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... 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 of Public Policy in Springfield ... in Springfield Missouri Description The Director of Public Policy role resides ... Centers for Medicare and Medicaid Services (in partnership..
Job Information Humana Medical Director - National Medicare Team in ... Springfield Missouri Description The Medical Director relies on medical background and ... and reviews preauthorization requests for services. The..
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..
... provide a wide range of services including traditional hospital-based services such as surgery, critical care, ... additional medical and surgical specialty services including audiology & speech pathology, ... 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..
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 actively uses..
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..
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 Director, Behavioral Health Strategy in Springfield ... in Springfield Missouri Description The Director, Behavioral Health (DBH) will ensure ... their behavioral health needs. The Director, Behavioral Health..
... 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..
Job Information Humana UM Medical Director - Conviva in Springfield Missouri ... Springfield Missouri Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director..
Job Information Humana Director, State Public Policy in Springfield ... in Springfield Missouri Description The Director of State Public Policy role ... care, clinical and financial transparency, social determinants of..
... Medicare Appeals and Grievance Medical Director in Springfield Missouri Description The ... Springfield Missouri Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical..
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 ..
... 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'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..
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...
... Louisiana is seeking a Addictionologist/Addiction Services Manager (ASM) who will be ... implementation of Humana Medicaid's Addiction Services in Louisiana, serving the needs ... (SUD), including referring enrollees to..
... 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..
