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Description The Associate Director, Care Management leads teams of ... responsible for care management. The Associate Director, Care Management requires a solid ... interrelate across department(s). Responsibilities The Associate Director,..
Job Information Humana Medicaid Associate Director, Compliance Nursing in San Juan ... Juan Puerto Rico Description The Associate Director, Compliance Nursing reviews utilization management ... fraud, waste, and abuse. The..
Job Information Humana Medical Director - S. Florida in San ... Puerto Rico Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..
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 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, CMS policies and determinations, ... guidelines, CMS policies and determinations, clinical reference materials,..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The Medical Director actively uses..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in ... Puerto Rico Description The Medical Director relies on clinical background and reviews Medicare drug ... Medicare drug requests. The..
... 40) market leader in integrated healthcare with a clearly defined purpose ... experience and vitality of the associate community. Through offerings anchored in ... we are seeking an accomplished..
... FULLY BILINGUAL with supervisory and Clinical exp) San Juan, PR in ... The Manager, Care Management uses clinical knowledge, communication skills, and independent ... Directors, Value Based/Innovative Home Care..
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 - National Medicare Team in ... Puerto Rico Description The Medical Director relies on medical background and ... requests for services. The Medical Director work..
Job Information Humana Medical Director - Texas in San Juan ... Puerto Rico Description The Medical Director actively uses their medical background, ... resources, which may include national clinical guidelines,..
... 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 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 Medical Director of Trend Analytics in San ... organization is seeking a Medical Director of Trend Analytics. As a ... of Trend Analytics. As a clinical trend..
... Medicare Appeals and Grievance Medical Director in San Juan Puerto Rico ... Puerto Rico Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical..
Job Information Humana UM Medical Director - Conviva in San Juan ... Puerto Rico Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director..
