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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 of Public Policy in Overland ... Overland Park Kansas Description The Director of Public Policy role resides ... Centers for Medicare and Medicaid Services (in partnership..
Job Information Humana Director, Behavioral Health Strategy in Overland ... Overland Park Kansas Description The Director, Behavioral Health (DBH) will ensure ... their behavioral health needs. The Director, Behavioral Health..
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...
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 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..
... 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..
... 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..
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..
... 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 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 ..
... 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 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 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..
... Medicare Appeals and Grievance Medical Director in Overland Park Kansas Description ... Park Kansas Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical..
Job Information Humana Director, State Public Policy in Overland ... Overland Park Kansas 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 ..
