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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,..
Description The Director, Health Services utilizes clinical nursing skills to ... documentation and communication of medical services and/or benefit administration determinations. The ... and/or benefit administration determinations. The Director, Health..
... 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..
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..
... Florida is seeking an Associate Director, Care Management who will lead ... for care management. The Associate Director, Care Management requires a solid ... across department(s). Responsibilities The Associate..
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 ..
... 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 Associate Director, Care Management (Florida Medicaid) - ... Horizons is seeking an Associate Director, Care Management who will lead ... for care management. The Associate Director, Care..
Job Information Humana Director, Behavioral Health Operations for Medicaid ... in Tampa Florida Description The Director, Behavioral Health Operations for Medicaid ... the delivery of Behavioral Health services in Medicaid..
Job Information Humana Director, Contract Tools, Education, Processes (remote ... in Tampa Florida Description The Director, Contract Tools, Education, Processes manages ... best in class knowledge. The Director, Contract Tools,..
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 Director of Public Policy in Tampa ... in Tampa Florida Description The Director of Public Policy role resides ... Centers for Medicare and Medicaid Services (in partnership..
Job Information Humana Director, State Public Policy in Tampa ... in Tampa Florida Description The Director of State Public Policy role ... care, clinical and financial transparency, social determinants of..
Job Information Humana Director, Behavioral Health Strategy in Tampa ... in Tampa Florida Description The Director, Behavioral Health (DBH) will ensure ... their behavioral health needs. The Director, Behavioral Health..
Job Information Humana RN, Associate Director, Utilization Management (Long Term Care) ... is seeking a RN, Associate Director of Utilization Management for Long ... most appropriate treatment, care or services..
Job Information Humana Director, Provider Contracting LTC Medicaid, FL ... in Tampa Florida Description The Director, Network Development, Long Term Care ... the strategic development, including provider services, provider engagement..
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 ..