Social Services Director Jobs

... Information Humana Care Team Medical Director in Salem Oregon Description The ... 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 Salem ... Salem Oregon Description The Associate Director, Utilization Management Nursing utilizes clinical ... documentation and communication of medical services..

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

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 ..

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 - S. Florida in Salem ... Salem Oregon 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 Medical Director - Texas in Salem Oregon ... Salem Oregon Description The Medical Director actively uses their medical background, ... to make determinations whether requested services, requested..

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 UM Medical Director - Conviva in Salem Oregon ... Salem Oregon Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director..

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..

... 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 Salem ... in Salem Oregon Description The Director of Public Policy role resides ... Centers for Medicare and Medicaid Services (in partnership..

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 Medical Director of Trend Analytics in Salem Oregon Description Humana's ECM organization is seeking a Medical Director of Trend Analytics. As a clinical trend leader you will support ..

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

... 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 Salem ... in Salem Oregon Description The Director of State Public Policy role ... care, clinical and financial transparency, social determinants of..

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 - National Medicare Team in ... Salem Oregon Description The Medical Director relies on medical background and ... and reviews preauthorization requests for services. The..

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..

Job Information Humana Director, Behavioral Health Strategy in Salem ... in Salem Oregon 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 ... daily work. Responsibilities The Medical Director's work includes..