Associate Director Healthcare Clinical Jobs

Job Information Humana Medicaid Associate Director, Compliance Nursing in Las Vegas ... Las Vegas Nevada 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,..

Job Information Humana Medical Director - S. Florida in Las ... Vegas Nevada Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

... in Louisiana is seeking an Associate Director, Care Management(Behavioral Health) who will ... Management(Behavioral Health) who will use clinical knowledge, communication skills, and independent ... responsible for care management...

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 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 ... 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..

... lifelong well-being by giving our associate fresh perspective, new insights, and ... daily huddles. Helps Regional Medical Director (RMD), Physician and Center Administrator ... policy and protocol defined by..

... guidance to facility management including clinical and technical managers and other ... developing and maintaining strong Medical Director and physician relationships and facilitating ... and physician relationships and facilitating..

Job Information Humana Associate VP, Clinical Pharmacy (Remote) in Las Vegas ... Las Vegas Nevada Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, ... and medical literature, while..

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 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 Nationwide Associate Director, Utilization Management Nursing in Las ... Las Vegas Nevada Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the .....

Job Information Humana Medical Director - Texas in Las Vegas ... Vegas Nevada Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

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 Associate Director, Technology Solutions in Las Vegas ... team in the role of Associate Director, Technology Solutions to as a ... training, etc. Reports to a Director..

... Medicare Appeals and Grievance Medical Director in Las Vegas Nevada Description ... Vegas Nevada 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 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 Director, Pharmacy Clinical Trend and Pipeline in Las ... team that helps translate the clinical into financial to ensure Humana ... external vendors and providers. The Director,..

... 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..