Social Services Director Jobs

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..

... Information Humana Care Team Medical Director in Washington District Of Columbia ... Description The Care Team Medical Director is responsible for improving the ... and shaping the necessary tech-enabled..

Job Information Humana UM Medical Director - Conviva in Washington District ... Of Columbia Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director..

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..

Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Washington ... Of Columbia Description The Associate Director, Utilization Management Nursing utilizes clinical ... documentation and communication of medical services..

Job Information Humana Medical Director - S. Florida in Washington ... Of Columbia Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

... Information Humana Regional VP, Health Services (Mid-Atlantic Region) in Washington District ... Description The Regional VP, Health Services relies on medical background and ... claims. The Regional VP, Health..

... 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..

... Medicare Appeals and Grievance Medical Director in Washington District Of Columbia ... Of Columbia Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical..

Job Information Humana Medical Director - Texas in Washington District ... Of Columbia 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 Washington District Of Columbia Description Humana's ECM organization is seeking a Medical Director of Trend Analytics. As a clinical trend leader you ..

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

Job Information Humana Director, Contract Tools, Education, Processes (remote ... District Of Columbia Description The Director, Contract Tools, Education, Processes manages ... best in class knowledge. The Director, Contract Tools,..

Job Information Humana Director, State Public Policy in Washington ... District Of Columbia Description The Director of State Public Policy role ... care, clinical and financial transparency, social determinants of..

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

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 ..

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..

... 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..

... a subsidiary of Universal Health Services, Inc. (UHS), one of the ... research. ED / ER Nursing Director - Trauma Emergency Room (Full ... Hospitals Service Excellence Standards. The..

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 Director, Behavioral Health Strategy in Washington ... District Of Columbia Description The Director, Behavioral Health (DBH) will ensure ... their behavioral health needs. The Director, Behavioral Health..