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Description The Director, Health Services utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Director, Health Services requires an in-depth understanding ..
Description The Director, Provider Reimbursement is responsible for the leadership, strategy development and execution of Humana Military's provider reimbursement methodologies. This leader is responsible for timely and accurate implementation of Government ..
Description Healthcare is rapidly changing, and our members are living longer, often with more chronic conditions. Consumers expect more personalized and holistic experiences from their health partners. Humana's Enterprise Clinical Operating ..
Job Information Humana Director, Contract Tools, Education, Processes (remote ... Lancaster South Carolina Description The Director, Contract Tools, Education, Processes manages ... best in class knowledge. The Director, Contract Tools,..
Description The Director, Medical Coding extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Director, Medical ..
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 Network & Market Strategy (Medicaid) in Lancaster South Carolina Description The Director, Behavioral Health (BH) Network and Market Strategy will insure that the appropriate providers ..
Description The Director, Physician Leadership relies on medical background and reviews health claims. The Director, Physician Leadership requires an in-depth understanding of how organization capabilities interrelate across the function or segment. ..
Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. The National Medicaid Director of ..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Lancaster South Carolina Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that ..
Job Information Humana Director, State Public Policy in Lancaster South Carolina Description The Director of State Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public ..
Job Information Humana Director, Informatics in Lancaster South Carolina ... Lancaster South Carolina Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..
Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides managed Medicaid health insurance. Requires an ..
Description The Director of Product Management for Clinical Pharmacy Products develops and evaluates new product ideas, enhance existing products or strategic product extensions, and translates research discoveries into marketable products. This ..
Description The Director, Corporate Communications develops and coordinates lines of communication outside the department. The Director, Corporate Communications requires an in-depth understanding of how organization capabilities interrelate across the function or ..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Lancaster South Carolina Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the ..
Description Responsibilities The Director, Provider Contracting initiates, negotiates, and executes physician, hospital, ancillary and/or other provider contracts and agreements for an organization that provides health insurance. The Director, Provider Contracting requires ..
Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..
Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides health insurance. Requires an in-depth understanding of ..
Job Information Humana Director, Medicaid Strategic Solutions in Lancaster South Carolina Description Humana Medicaid is seeking exceptional candidates to join our Medicaid Product Strategy & Optimization Organization in order to support ..
Description Humana is seeking an experienced management professional to lead an interactive team with broad exposure and scope within Humana. This position will work and collaborate with leaders across the Humana ..
Job Information Humana Director of Public Policy in Lancaster South Carolina Description The Director of Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public policy ..
Job Information Humana Director, Behavioral Health Strategy in Lancaster South Carolina Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care ..