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... and transformative business results. Hematology Clinical Nurse Consultant Roles & Responsibilities ... Roles & Responsibilities Each Hematology Clinical Nurse Consultant (CNC) has a ... effectiveness of these interventions As..
Job Information Humana Associate Director, Utilization Management Nursing - Oklahoma ... Oklahoma City Oklahoma Description The Associate Director, Utilization Management Nursing uses clinical knowledge, communication skills, and independent ... management..
Job Information Humana Associate Director, Quality Improvement - Oklahoma City, ... Oklahoma City Oklahoma Description The Associate Director, Quality Improvement provides strategic leadership ... lead for accreditation compliance. The Associate..
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..
... Medicare Appeals and Grievance Medical Director in Tulsa Oklahoma Description The ... Tulsa Oklahoma Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical..
... 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..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Tulsa ... team that helps translate the clinical into financial to ensure Humana ... external vendors and providers. The Director,..
Job Information Humana Associate Director, Technology Solutions in Tulsa Oklahoma ... team in the role of Associate Director, Technology Solutions to as a ... training, etc. Reports to a Director..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Tulsa Oklahoma ... in Tulsa Oklahoma Description The Associate Director, Compliance Nursing reviews utilization management ... fraud, waste, and abuse. The..
... an essential function of this job.,industry:Healthcare,title:Physician Assistant- Mercy Clinic Hand, Plastic ... Family Practice Physician, Surgical Co-ordinator, Clinical Nurse Educator, Clinical Psychologist Intern, Nurse Educator, Associate Dentist – DDS..
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, Humana contract language, Humana ... coverage policies and determinations, MCG, clinical reference materials,..
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..
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 Nationwide Associate Director, Utilization Management Nursing in Tulsa ... in Tulsa Oklahoma Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the .....
Job Information Humana Medical Director - Texas in Tulsa Oklahoma ... Tulsa Oklahoma 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 Tulsa Oklahoma ... in Tulsa Oklahoma Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, ... and medical literature, while..
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 ..
Job Information Humana (RN)Associate Director, Care Management - Oklahoma City, ... in Tulsa Oklahoma Description The Associate Director, Care Management leads teams of ... responsible for care management. The Associate..
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 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..
