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Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing ..
... 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 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 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 ..
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 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..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in ... Rhode Island Description The Medical Director relies on clinical background and ... Medicare drug requests. The Medical director work..
Join our Team! Become our Director of Social Services! Work Closely ... and Transitional Care Unit! Genesis HealthCare is one of the leading ... of the leading providers of healthcare..
Job Information Humana Director, Informatics in Newport Rhode Island ... Newport Rhode Island Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..
Job Information Humana Director of Public Policy in Newport ... Newport Rhode Island Description The Director of Public Policy role resides ... 5 or more years of healthcare policy experience..
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 ..
Description As the Product Director, Channel Development & Enablement for the Group Specialty Business, you will be responsible for defining and executing upon the specialty business sales product strategy & enablement ..
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..
Make a difference in the lives of patients/residents in their personal journey with dementia as our Memory Support Director. In this role, you will develop and maintain a quality memory support ..
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..
Job Information Humana Director, Contract Tools, Education, Processes (remote ... Newport Rhode Island Description The Director, Contract Tools, Education, Processes manages ... best in class knowledge. The Director, Contract Tools,..
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. ..
Job Information Humana Associate Director, Site Reliability Engineering in Newport ... Rhode Island Description The Associate Director, Site Reliability Engineering maintains, integrates ... within the organization. The Associate Director, Site..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Newport ... Rhode Island Description The Associate Director, Utilization Management Nursing utilizes clinical ... benefit administration determinations. The Associate Director,..
Job Information Humana Director, Medicaid Strategic Solutions in Newport ... the mission of a leading healthcare company committed to improving the ... resources to achieve growth The Director, Medicaid Strategic..
Description The Director of Product Management for Clinical ... business acumen. Responsibilities As the Director of Product Management for Clinical ... insights Bachelor's degree in Business, Healthcare Administration or other..
... Information Humana Care Team Medical Director in Newport Rhode Island Description ... Description The Care Team Medical Director is responsible for improving the ... up. The Care Team Medical..
Job Information Humana Director, State Public Policy in Newport ... Newport Rhode Island Description The Director of State Public Policy role ... 5 or more years of healthcare policy experience..
