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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..
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... 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 Medicaid Associate Director, Compliance Nursing in Salem Oregon ... in Salem Oregon Description The Associate Director, Compliance Nursing reviews utilization management ... fraud, waste, and abuse. The..
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 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..
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,..
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 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 ..
... 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..
... SUMMARYu003c/spanu003eu003c/strongu003eu003c/pu003enu003cpu003eu003cspanu003eUnder direct supervision of the Clinical Director/Administrator, this entry-level management position supervises ... the team; ensures coordination of clinical and administrative team functions including ... members servedu003c/spanu003eu003c/pu003enu003cpu003eu003cspanu003eu0026middot;u003cspanu003eu0026nbsp;u0026nbsp;u0026nbsp;u0026nbsp;u0026nbsp;u0026nbsp;u0026nbsp;u0026nbsp; u003c/spanu003eu003c/spanu003eu003cspanu003eDirects 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..
Job Information Humana Physician - CenterWell - Atlanta, GA - College Park in Salem Oregon Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a ..
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 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..
... 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..