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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..
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 Medicaid Associate Director, Compliance Nursing in San Antonio ... San Antonio Texas Description The Associate Director, Compliance Nursing reviews utilization management ... fraud, waste, and abuse. The..
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 San ... San Antonio Texas Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the .....
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,..
... 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 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 Director, Pharmacy Clinical Trend and Pipeline in San ... team that helps translate the clinical into financial to ensure Humana ... external vendors and providers. The Director,..
... Medicare Appeals and Grievance Medical Director in San Antonio Texas Description ... Antonio Texas Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical..
Description Summary: Greets, instructs, directs and schedules patients and visitors. Serves as a liaison between patient and medical support staff. May assist with various duties within the clinic. Verifies insurance benefits ..
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..
Job Information Humana Associate Director, Care Management, Primary Care Organization ... in Houston Texas Description The Associate Director, Care Management leads teams of ... delivery care management programs. The Associate..
Job Information Humana Associate Director, Technology Solutions in San Antonio ... team in the role of Associate Director, Technology Solutions to as a ... training, etc. Reports to a Director..
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 ..
... an immediate opportunity for a Director Wound Care Services General Summary: ... Care Services General Summary: The Director Wound Care Services is responsible ... coordinates, and evaluates the overall..
General Summary: The Hyperbaric Safety Officer is accountable for operation of the hyperbaric chambers. Also provides patient care and preparation of patients who enter the hyperbaric treatment environment. The Hyperbaric Safety ..
Job Information Humana Associate VP, Clinical Pharmacy (Remote) in San Antonio ... San Antonio Texas Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, ... and medical literature, while..
Description AREA MEDICAL DIRECTOR Healthcare isn't just about health anymore. ... of our patients, and the healthcare industry as a whole. The ... a whole. The Area Medical Director serves..
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..
... have an immediate opportunity for Clinical Liaisons. *The anticipated territory would ... referrals from assigned accounts. The Clinical Liaison will be responsible for ... contact with patients in a..