THE LARGEST COLLECTION OF HEALTHCARE JOBS ON EARTH
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... for multiple departments, especially utilization management and care management groups. Leverages clinical experience and ... Qualifications Bachelor's degree in Nursing, Healthcare Management or related field Active R.N. ... regulatory..
Description The Director, Health Services utilizes clinical nursing ... and/or benefit administration determinations. The Director, Health Services requires an in-depth ... segment. Responsibilities The SC Medicaid Director, uses clinical knowledge,..
Description As the Associate Director, IT Project Management, you will use your background ... background and experience in program management to lead and manage a ... our Medicare segment. The..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... Vice President, Home Care Product..
... 50 market leader in integrated healthcare delivery. As a company whose ... Humana is seeking an accomplished healthcare leader for the position of ... and providers, including plan funding,..
Job Information Humana Director, Medicaid Strategic Solutions in Glen ... the mission of a leading healthcare company committed to improving the ... structured problem solving, and project management rigor. We..
... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... Glen Allen Virginia Description The Healthcare Quality Reporting & Improvement (HQRI) ... that leads Humana's Stars and..
... implement change, while mitigating operational risk. The right candidate will make ... or more years of product management experience and/or clinical implementation Leadership ... and Outlook Excellent organizational, time..
... 40) market leader in integrated healthcare with a clearly defined purpose ... Responsibilities Key Responsibilities Leverage product management expertise to create simple, personalized ... the moment of need for..
Description The Vendor Quality Medical Director will manage clinical vendor quality ... Responsibilities A full time Medical Director to manage clinical vendor quality ... for inpatient and outpatient utilization management..
... Reviews inventory reports and assists management with data tracking to identify ... providers on utilization and medical management processes. Enters and maintains pertinent ... clinical information in various medical..
Description The Hospital Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Hospital Contracting Executive works on problems ..
... 41) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... President, Strategy Advancement for our..
Description The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare, requires and in-depth understanding ..
Description Humana's Enterprise Clinical Management team needs your clinical, business ... acumen to solve for the healthcare challenges of today. The Clinical ... organization is seeking a Medical Director of..
... Information Humana AVP, Stars and Risk Adjustment National Medical Director in Glen Allen Virginia Description ... Glen Allen Virginia Description The Healthcare Quality Reporting & Improvement (HQRI) ... national..
... Mid-Atlantic region. Oversee regional utilization management for case types including but ... necessity determination processes and Medical Director audit processes. . Provide oversight ... contract language related to medical..
... to make a difference in healthcare?nLandmark Health was created to transform ... was created to transform how healthcare is delivered to the most ... ill-equipped to navigate our overwhelming..
Job Information Humana Director, Behavioral Health Network & Market ... Glen Allen Virginia Description The Director, Behavioral Health (BH) Network and ... model design (full or partial risk, PPPM, upside..
