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... drug manufacturers and providers. The Director, Pharmacy Clinical Formulary and Medical Strategies requires ... specialty to develop and/or implement clinical strategies to mitigate cost while ... medical drug strategies...
Description Responsibilities The Associate Director Medical/Financial Risk Evaluation leads a ... teams that report to this Associate director will assist in identifying 'NEW' ... industry. You will partner with Clinical,..
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,..
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, Clinical Pharmacy monitors drug development pipeline, ... and medical literature, while providing clinical support for internal stakeholders. Utilizes ... and improve health outcomes. The Associate Director,..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Atlanta ... team that helps translate the clinical into financial to ensure Humana ... external vendors and providers. The 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 Associate Director, Quality Assurance for Humana/Your Home ... In Home Wellness Assessments. The Associate Director, Quality Assurance requires a solid ... and coding, organizational capabilities and clinical care..
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..
... 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 Associate Director, Technology Solutions in Atlanta Georgia ... team in the role of Associate Director, Technology Solutions to as a ... training, etc. Reports to a Director..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Atlanta ... in Atlanta Georgia Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the .....
Job Information Humana Medical Director - Texas in Atlanta Georgia ... Atlanta Georgia Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..
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 Atlanta Georgia Description The ... Atlanta Georgia Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical..
... General Obstetrics and Gynecology Division Director at Grady, Department of Gynecology ... University School of Medicine Coordinate clinical service activities with those of ... pertaining to or affecting 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 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 ..
Job Information Humana Associate VP, Clinical Pharmacy (Remote) in Atlanta Georgia ... in Atlanta Georgia Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, ... and medical literature, while..
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 Medicaid Associate Director, Compliance Nursing in Atlanta Georgia ... in Atlanta Georgia Description The Associate Director, Compliance Nursing reviews utilization management ... fraud, waste, and abuse. The..
