Associate Director Healthcare Clinical Jobs in Gastonia

Job Information Humana Medicaid Associate Director, Compliance Nursing in Charlotte North ... Charlotte North Carolina Description The Associate Director, Compliance Nursing reviews utilization management ... fraud, waste, and abuse. The..

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 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 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 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 VP, Clinical Pharmacy (Remote) in Charlotte North ... Charlotte North Carolina Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, ... and medical literature, while..

Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Charlotte ... Charlotte North Carolina Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the .....

... and Risk Adjustment National Medical Director in Charlotte North Carolina Description ... Charlotte North Carolina Description The Healthcare Quality Reporting & Improvement (HQRI) ... and 3) contribute as a..

Job Information Humana Medical Director - S. Florida in Charlotte ... North Carolina Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

Job Information Humana Medical Director - Texas in Charlotte North ... North Carolina 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 Associate Director, Technology Solutions in Charlotte North ... team in the role of Associate Director, Technology Solutions to as a ... training, etc. Reports to a Director..

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..

... Medicare Appeals and Grievance Medical Director in Charlotte North Carolina Description ... North Carolina Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical..

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,..

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..

Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Charlotte ... team that helps translate the clinical into financial to ensure Humana ... external vendors and providers. The Director,..

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 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..

... 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 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..

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..