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Job Information Humana Medicaid Associate Director, Compliance Nursing in Anchorage Alaska ... in Anchorage Alaska Description The Associate Director, Compliance Nursing reviews utilization management ... fraud, waste, and abuse. The..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Anchorage ... team that helps translate the clinical into financial to ensure Humana ... external vendors and providers. The Director,..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Anchorage ... in Anchorage Alaska Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the .....
Job Information Humana Director, State Public Policy in Anchorage ... in Anchorage Alaska Description The Director of State Public Policy role ... and overall strategic positioning. This associate will also..
Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to ... acumen to solve for the healthcare challenges of today. The Clinical Analytics and Trend team..
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 Associate Director, Technology Solutions in Anchorage Alaska ... team in the role of Associate Director, Technology Solutions to as a ... training, etc. Reports to a Director..
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..
Description The Medical Director relies on fundamentals of CMS ... per diem requests. The Medical Director provides medical interpretation and determinations ... whether services provided by other healthcare professionals are..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director will provide..
Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical Director provides medical interpretation and determinations ... whether services provided by other healthcare professionals are..
... 40) market leader in integrated healthcare with a clearly defined purpose ... experience and vitality of the associate community. Through offerings anchored in ... we are seeking an accomplished..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... resources which may include national clinical guidelines, Humana contract language, Humana ... and determinations, medical necessity criteria, clinical..
Job Information Humana Medical Director - Texas in Anchorage Alaska ... Anchorage Alaska 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, ... resources, which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations, clinical reference materials,..
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 ..
... Medicare Appeals and Grievance Medical Director in Anchorage Alaska Description The ... Anchorage Alaska Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical..
Job Information Humana Medical Director - S. Florida in Anchorage ... Anchorage Alaska Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..
Description The Behavioral Health Medical Director responsible for behavioral health care ... operations. The Behavioral Health Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director..
