Associate Director Healthcare Clinical Jobs in Maryland

Job Information Humana Medicaid Associate Director, Compliance Nursing in Bethesda Maryland ... in Bethesda Maryland 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,..

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

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..

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

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

Associate Medical Director - Team Physician Job Location ... Intro AccentCare is seeking an Associate Medical Director - Team Physician to join ... in hospice care. Overview The Associate Medical..

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

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

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

... fastest-growing e-commerce companies in the Clinical care management and make a ... members' lives. Reporting to the Director, you will have the opportunity ... well-being of our members. 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..

Clinical Team Director RN Full-Time Job Location : ... AccentCare is seeking a Team Director to join our team of ... Responsibility is Held: Art Therapist, Associate Team Director, Chaplain,..

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

... . If you haven't considered Healthcare before, read on as we ... as we think you should. Healthcare Experience is NOT required. For ... years, DaVita has demonstrably improved..

... 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 medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The Medical Director provides medical..