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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 Overland Park ... Overland Park Kansas Description The Associate Director, Compliance Nursing reviews utilization management ... fraud, waste, and abuse. The..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Overland ... team that helps translate the clinical into financial to ensure Humana ... external vendors and providers. The Director,..
... Internal Number: 22003755 Description Nursing Director AdventHealth Shawnee Mission Medical, Dental ... pertinent conferences and seminars regarding clinical nursing, business, or management. Creates ... specialty Job Summary: The Nursing..
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,..
... Please wait. Hospitalist Facility Medical Director in Dodge City, Kansas TeamHealth ... Dodge City, Kansas NEW! NEW! Director of Risk Management Rush University ... Middletown, New York Featured! Featured!..
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 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..
... 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,..
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 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 Medical Director - Texas in Overland Park ... Park Kansas 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 Overland ... Overland Park Kansas Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the .....
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 Associate Director, Nurse Practitioner applies advanced education ... Practitioner applies advanced education and clinical competencies to achieve optimal patient ... achieve optimal patient outcomes. The Associate Director, Nurse..
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 Associate VP, Clinical Pharmacy (Remote) in Overland Park ... Overland Park Kansas Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, ... and medical literature, while..
... Medicare Appeals and Grievance Medical Director in Overland Park Kansas Description ... Park Kansas Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical..
Job Information Humana Associate Director, Technology Solutions in Overland Park ... team in the role of Associate Director, Technology Solutions to as a ... training, etc. Reports to a Director..
Job Information Humana Medical Director - S. Florida in Overland ... Park Kansas Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..
