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Description The Director, QOCA Strategy - serves as the strategic leader in resource utilization; budget and MER oversight; vendor oversight; and for clinician and non-clinician flex associates and off-shore vendor associates ..
... acumen to solve for the healthcare challenges of today. The Clinical ... Title : Clinical Trend Medical Director Assignment: Enterprise Clinical Management, Clinical ... seeking a Clinical Trend Medical..
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 ..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Anchorage ... Anchorage Alaska Description The Associate Director, Utilization Management Nursing utilizes clinical ... benefit administration determinations. The Associate Director,..
... Information Humana Care Team Medical Director in Anchorage Alaska Description The ... Description The Care Team Medical Director is responsible for improving the ... up. The Care Team Medical..
**Providence is calling a Clinician II (Comm Serv Program, Days, 1.0 FTE - 40 hours per week) to Providence Kodiak Alaska Mental Health Center in Kodiak, Alaska. We are a community ..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
Job Information Humana Director, State Public Policy in Anchorage ... in Anchorage Alaska Description The Director of State Public Policy role ... 5 or more years of healthcare policy experience..
Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. ..
**Providence is calling a Registered Nurse (RN) Clinical Manager (5 North Medical Oncology, Day-Shift, 1.0 FTE, 40 Hours per week) to Providence Alaska Medical Center in Anchorage, Alaska. We are a ..
Description As the Associate Director, IT Project Management, you will use your background and experience in program management to lead and manage a team of PMO professionals that support the delivery ..
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..
**Providence is calling a Registered Nurse (General And Administrative, Day Shift, 0.9 FTE, 36 Hours a Week) to Providence Imaging Center in Anchorage, Alaska. We are a community of caregivers delivering ..
**Providence is calling a Clinical Laboratory Assistant Outreach (Lab Outreach Admin, Variable** **Shift, 1.0 FTE - 40 hours per week) to Providence Alaska Medical Center in Anchorage, Alaska.** **We are a ..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an accomplished healthcare leader for the newly-created role ... quality, appropriate, and cost-effective behavioral..
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..
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 ..
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..
Job Information Humana Associate Director, Site Reliability Engineering in Anchorage ... Anchorage Alaska Description The Associate Director, Site Reliability Engineering maintains, integrates ... within the organization. The Associate Director, Site..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in ... Anchorage Alaska Description The Medical Director relies on clinical background and ... Medicare drug requests. The Medical director work..
Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for Humana ..