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Description Responsibilities The Senior Clinical Insights Professional delivers clinical policy insight and information to ... Government Business (HGB). The Senior Clinical Insights Professional will draft and ... will draft and..
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... Work tasks assigned in the clinical documentation system Work assigned UM ... alternative levels of care using clinical knowledge and benefit plan design ... alternatives, if appropriate by analyzing..
... Humana is a Fortune 60 healthcare company with a history of ... top place to work in healthcare, especially in areas of Diversity ... a personalized, seamless and easy..
... efforts on improving Kentucky Medicaid clinical quality performance measures to achieve ... closely with the Quality Improvement Director, Quality Improvement Manager and pharmacy ... Professional is responsible for improving..
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 CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Title: Medical Director Location: Work..
... health (BH)/Substance Use Disorder (SUD) clinical quality performance measures to achieve ... work closely with the Quality Director, Behavioral Health Director, Quality Improvement Manager and those ... Professional is..
Description The Director of Product Management for Clinical Pharmacy Products develops and evaluates ... business acumen. Responsibilities As the Director of Product Management for Clinical Pharmacy Products, you will be..
Description The Medical Director actively uses their medical background, ... resources which may include national clinical guidelines, Humana contract language, Humana ... coverage policies and determinations, MCG, clinical reference materials,..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
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..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Indianapolis Indiana ... in Indianapolis Indiana Description The Associate Director, Compliance Nursing reviews utilization management ... fraud, waste, and abuse. The..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the ... and/or benefit administration determinations. The Associate Director, Utilization Management Nursing requires a ... to grow,..
Job Information Humana Physician - CenterWell - Atlanta, GA - College Park in Indianapolis Indiana Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a ..
Description The Associate Director, Quality Assurance for Humana/Your Home ... In Home Wellness Assessments. The Associate Director, Quality Assurance requires a solid ... and coding, organizational capabilities and clinical care..
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..
... 41) 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 experienced..
... moderate to substantial. Responsibilities Humana Healthcare Research (HHR) needs your analytical ... tell a compelling story about healthcare today. Through the design and ... with meaningful real-life insights about..
... closely with the market QI director on a frequent basis. Support ... expertise within the realm of Healthcare Quality operations and improvement methodology, ... measurement, and the improvement of..
Job Information Humana Physician - CenterWell - Atlanta, GA in Indianapolis Indiana Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical ..
