Associate Director Healthcare Clinical Jobs

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

... Information Humana Care Team Medical Director in Honolulu Hawaii Description The ... Description The Care Team Medical Director is responsible for improving the ... part of building an innovative..

Job Information Humana Associate Director, Technology Solutions in Honolulu Hawaii ... team in the role of Associate Director, Technology Solutions to as a ... training, etc. Reports to a Director..

Job Information Humana Director, Informatics in Honolulu Hawaii Description ... in Honolulu Hawaii Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..

Job Information Humana Medical Director - National Medicare Team in ... Honolulu Hawaii Description The Medical Director relies on medical background and ... requests for services. The Medical Director work..

Job Information Humana Medical Director - Florida Medicaid in Honolulu ... Honolulu Hawaii 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 ... per diem requests. The Medical Director provides medical interpretation and determinations ... whether services provided by other healthcare professionals are..

... 40) market leader in integrated healthcare with a clearly defined purpose ... experience and vitality of the associate community. Through offerings anchored in ... we are seeking an accomplished..

Job Information Humana Medical Director - Texas in Honolulu Hawaii ... Honolulu Hawaii 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..

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 Medical Director - Medicare Pharmacy Appeals in ... Honolulu Hawaii Description The Medical Director relies on clinical background and reviews Medicare drug ... Medicare drug requests. The..

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..

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..

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 UM Medical Director - Conviva in Honolulu Hawaii ... Honolulu Hawaii Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director..

Description The Medical Director actively uses their medical background, ... resources, which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations, clinical reference materials,..

Job Information Humana Medical Director of Trend Analytics in Honolulu ... organization is seeking a Medical Director of Trend Analytics. As a ... of Trend Analytics. As a clinical trend..

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 actively uses their medical background, ... resources, which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations, clinical reference materials,..

... Medicare Appeals and Grievance Medical Director in Honolulu Hawaii Description The ... Honolulu Hawaii Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical..

Job Information Humana Medical Director - S. Florida in Honolulu ... Honolulu Hawaii 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..