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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 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 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 Associate Director, Site Reliability Engineering in Green ... Bay Wisconsin Description The Associate Director, Site Reliability Engineering maintains, integrates ... within the organization. The Associate Director, Site..
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 ..
Job Information Humana Senior Provider Contracting Professional - TRICARE Behavioral Health in Green Bay Wisconsin Description Responsibilities The position will provide corporate support to the Director of Provider Contracting and is ..
Job Information Humana Director, Medicaid Strategic Solutions in Green ... the mission of a leading healthcare company committed to improving the ... resources to achieve growth The Director, Medicaid Strategic..
Job Information Humana Director, State Public Policy in Green ... Green Bay Wisconsin Description The Director of State Public Policy role ... 5 or more years of healthcare policy experience..
... 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 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 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..
Job Information Humana Director, Informatics in Green Bay Wisconsin ... Green Bay Wisconsin Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..
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 uses..
... Information Humana Care Team Medical Director in Green Bay Wisconsin Description ... Description The Care Team Medical Director is responsible for improving the ... up. The Care Team Medical..
Job Information Humana Director of Public Policy in Green ... Green Bay Wisconsin Description The Director of Public Policy role resides ... 5 or more years of healthcare policy experience..
Description Responsibilities The Director, Health Services uses clinical knowledge, communication and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or ..
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 Nationwide Associate Director, Utilization Management Nursing in Green ... Bay Wisconsin Description The Associate Director, Utilization Management Nursing utilizes clinical ... benefit administration determinations. The Associate Director,..
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 Medical Director - Medicare Pharmacy Appeals in ... Bay Wisconsin Description The Medical Director relies on clinical background and ... Medicare drug requests. The Medical director work..
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..
