Associate Director Healthcare Clinical Jobs in Oak Brook

... transformative business results. The Regional Associate Director (RAD) is responsible for managing ... current medical and scientific issues, healthcare advances, treatment trends, and health ... knowledge, including key scientific..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Chicago Illinois ... in Chicago Illinois 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 Associate Director, Technology Solutions in Chicago Illinois ... team in the role of Associate Director, Technology Solutions to as a ... training, etc. Reports to a 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 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..

... 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..

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,..

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

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 Chicago ... team that helps translate the clinical into financial to ensure Humana ... external vendors and providers. The Director,..

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

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 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 Chicago ... in Chicago Illinois Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support 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..

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 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 Chicago ... Chicago Illinois Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

... LCPC for the Behavioral Health Clinical Director position for our Bonaventure House, ... procedures and protocols. Collaborate with healthcare staff to achieve preventative, supportive ... more of the following..

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 Chicago Illinois ... in Chicago Illinois Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, ... and medical literature, while..