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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,..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Boston Massachusetts ... in Boston Massachusetts Description The Associate Director, Compliance Nursing reviews utilization management ... fraud, waste, and abuse. The..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Boston ... team that helps translate the clinical into financial to ensure Humana ... external vendors and providers. The Director,..
Job Information Humana Associate Director, Technology Solutions in Boston Massachusetts ... team in the role of Associate Director, Technology Solutions to as a ... training, etc. Reports to a Director..
... We have a legacy of clinical excellence that continues to grow ... reports directly to the Assistant Clinical Director and indirectly to the Clinical Director. In absence of an..
... is seeking a dynamic entrepreneurial clinical leader with leadership experience in ... traumatic brain injury (TBI). The Director of Families of the Fallen, ... Services (referred to as 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..
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,..
Job Information Humana Associate VP, Clinical Pharmacy (Remote) in Boston Massachusetts ... in Boston Massachusetts Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, ... and medical literature, while..
... Research to review and implement clinical studies. Ensure that the staff ... guidance to facility management including clinical and technical managers and other ... developing and maintaining strong Medical..
... Medicare Appeals and Grievance Medical Director in Boston Massachusetts Description The ... Boston Massachusetts Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical..
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,..
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..
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 Nationwide Associate Director, Utilization Management Nursing in Boston ... in Boston Massachusetts Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the .....
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, 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 - Texas in Boston Massachusetts ... Boston Massachusetts Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..
... Wellness Center is seeking an Associate Director/Training Director (AD/TD) to join our dynamic ... CHWu2019s psychology training programs and clinical operations functions for counseling services.u00A0 ... team environment.u00A0 As..
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 Applied ... challenges of today...
... and their employees. Tamara D. Director, US Field Medical, GI Patient ... committed to everyone. Dayna F. Director, IG Community Support The people ... to do your best work...
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..
