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... drug manufacturers and providers. The Director, Pharmacy Clinical Formulary and Medical Strategies requires ... specialty to develop and/or implement clinical strategies to mitigate cost while ... medical drug strategies...
Description Responsibilities The Associate Director Medical/Financial Risk Evaluation leads a ... teams that report to this Associate director will assist in identifying 'NEW' ... industry. You will partner with Clinical,..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Rogers Arkansas ... in Rogers Arkansas Description The Associate Director, Compliance Nursing reviews utilization management ... fraud, waste, and abuse. The..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... resources which may include national clinical guidelines, Humana contract language, Humana ... and determinations, medical necessity criteria, clinical..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Rogers ... team that helps translate the clinical into financial to ensure Humana ... external vendors and providers. The Director,..
Description The Medical Director relies on fundamentals of CMS ... per diem requests. The Medical Director provides medical interpretation and determinations ... whether services provided by other healthcare professionals are..
Job Information Humana Medical Director - Texas in Rogers Arkansas ... Rogers Arkansas Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the ... and/or benefit administration determinations. The Associate Director, Utilization Management Nursing requires a ... to grow,..
Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to ... acumen to solve for the healthcare challenges of today. The Clinical Analytics and Trend team..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The Medical Director provides medical..
Job Information Humana Associate Director, Technology Solutions in Rogers Arkansas ... team in the role of Associate Director, Technology Solutions to as a ... training, etc. Reports to a Director..
SUMMARY: This position is responsible for leading nurses within an assigned business unit through their day-to-day activities to ensure successful outcomes in the production environment. Responsibilities include: providing clinical guidance-to include ..
Job Information Humana Associate VP, Clinical Pharmacy (Remote) in Rogers Arkansas ... in Rogers Arkansas Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, ... and medical literature, while..
Description The Director, Pharmacy Clinical Pipeline oversees the medical and ... leaders across the Humana enterprise, clinical subject matter experts, analytics, actuaries ... and finance teams. Responsibilities The Director, Pharmacy..
Job Information Humana Medical Director - S. Florida in Rogers ... Rogers Arkansas Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..
Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical Director provides medical interpretation and determinations ... whether services provided by other healthcare professionals are..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Rogers ... in Rogers Arkansas Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the .....
... Medicare Appeals and Grievance Medical Director in Rogers Arkansas Description The ... Rogers Arkansas Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical..
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 actively uses their medical background, ... resources which may include national clinical guidelines, Humana contract language, Humana ... coverage policies and determinations, MCG, clinical reference materials,..
... Analytics is looking for an Associate Director of Data Science to lead ... future adverse health events. The Associate Director must be able to effectively ... business problems being..
Description The Associate Director, Clinical Pharmacy monitors drug development pipeline, ... and medical literature, while providing clinical support for internal stakeholders. Utilizes ... and improve health outcomes. The Associate Director,..
