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Bristol-Myers Squibb is a global Biopharma company committed to a single mission: to discover, develop, and deliver innovative medicines focused on helping millions of patients around the world in disease areas ..
Description Humana's Lead Program Integrity Investigator will oversee the ... waste, and abuse (FWA) compliance program to prevent and detect potential ... in Oklahoma to increase Medicaid program transparency and..
Description The Director, Health Services utilizes clinical nursing ... and/or benefit administration determinations. The Director, Health Services requires an in-depth ... function or segment. Responsibilities The Director, Health Services utilizes..
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... processing operations and systems. The Director, Claims Oversight plays a vital ... relate to claims. Responsibilities The Director, Claims Quality Audit will oversee ... exceptional results to the TRICARE..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Tulsa Oklahoma ... Tulsa Oklahoma Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
Description The Director, Provider Reimbursement is responsible for ... team of associates. Responsibilities The Director, Provider Reimbursement develops and executes ... collaboration with other leaders, this Director will develop and..
... us and discover why Modern Healthcare Magazine named us in its ... Master's Degree Family Nurse Practitioner Program or Physician Assistant Program.Required Licensure: Licensed by the State ... an..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
We’re a Little Different Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the ..
Description The Associate Director, Utilization Management Nursing utilizes clinical ... benefit administration determinations. The Associate Director, Utilization Management Nursing requires a ... clinical delivery process. The Associate Director, Utilization Management..
Description The Medicaid Oklahoma Pharmacy Director monitors drug development pipeline, and ... health outcomes. The Medicaid Pharmacy Director works on problems of diverse ... only Humana's Oklahoma Medicaid Pharmacy Director..
Job Information Humana Associate Director, Quality Improvement - Oklahoma City, ... City Oklahoma Description The Associate Director, Quality Improvement provides strategic leadership ... for Humana's Oklahoma Medicaid Quality Program, in..
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 ..
Description The Director, Process Improvement analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Director, Process Improvement requires an in-depth understanding ..
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 ..
Description As the Associate Director, IT Project Management, you will ... your background and experience in program management to lead and manage ... our Medicare segment. The Associate Director is..
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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 ..
