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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 actively uses..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Riverton ... in Riverton Wyoming Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the .....
... to the National Medicaid Quality Director, and be responsible for the ... in improving operational process and clinical care quality in an effort ... related issues, process improvement, and..
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..
... The Lead Behavioral Health Medical Director oversees the work of 2 ... 2 Medical Directors who conduct clinical case reviews of the care ... The Lead Behavioral Health 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..
Description The Director, Clinical Pharmacy Drug Evaluation and Policy ... Strategies oversees drug class reviews/evaluation, clinical policy strategy development, research, P&T ... manufacturers and providers. Responsibilities The Director, Clinical Pharmacy..
Job Information Humana Director, Informatics in Riverton Wyoming Description ... in Riverton Wyoming Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..
Job Information Humana Director, Behavioral Health Strategy in Riverton ... in Riverton Wyoming Description The Director, Behavioral Health (DBH) will ensure ... their behavioral health needs. The Director, Behavioral Health..