Social Services Director Jobs

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

... 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..

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

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 - S. Florida in Jersey ... New Jersey Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

Job Information Humana Medical Director of Trend Analytics in Jersey City New Jersey Description Humana's ECM organization is seeking a Medical Director of Trend Analytics. As a clinical trend leader you ..

Job Information Humana Director, Contract Tools, Education, Processes (remote ... City New Jersey Description The Director, Contract Tools, Education, Processes manages ... best in class knowledge. The Director, Contract Tools,..

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

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

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

... Medicare Appeals and Grievance Medical Director in Jersey City New Jersey ... New Jersey Description The Medical Director relies on fundamentals of CMS ... Line of Business. 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..

Job Information Humana Medical Director - Florida Medicaid in Jersey ... New Jersey 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 Nationwide Associate Director, Utilization Management Nursing in Jersey ... New Jersey Description The Associate Director, Utilization Management Nursing utilizes clinical ... documentation and communication of medical services..

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..

... 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 Medical Director - Texas in Jersey City ... New Jersey Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

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, State Public Policy in Jersey ... City New Jersey Description The Director of State Public Policy role ... care, clinical and financial transparency, social determinants of..

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 of Public Policy in Jersey ... City New Jersey Description The Director of Public Policy role resides ... Centers for Medicare and Medicaid Services (in partnership..

Job Information Humana Medical Director of Long Term Care, Florida ... The Long Term Care Medical Director supports the Long Term Care ... that medically necessary and appropriate services and..