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Description The Utilization Management Nurse uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or ..
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..
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 ..
... in the country. Responsibilities The Healthcare Strategy team supports Humana's Retail ... a team member with meaningful management consulting experience to support the ... its interactions with Humana's executive..
... all internal parties on Medical Benefit-Risk Evidence based positions. Deeply understanding ... team through the National MSL Director. Responsible for all aspects of ... for all aspects of talent..
Job Information Humana Director, Medicaid Strategic Solutions in Chicago ... the mission of a leading healthcare company committed to improving the ... structured problem solving, and project management rigor. We..
... 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..
... Hospitals Chicago, Illinois NEW! NEW! Director, Environmental Services Cookeville Regional Medical ... Nashville, Tennessee NEW! NEW! Materials Management Clerk FT Kindred Hospitals El ... Nashville, Tennessee NEW! NEW! Clinical..
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..
... possible.This is a credentialed medical director position, focused on both senior ... addressing complex workplace health and risk challenges.Qualifications15 years of industry experience ... years of industry experience including..
About AbbVieAbbVie’s mission is to discover and deliver innovative medicines that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on ..
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..
... 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..
... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... in Chicago Illinois Description The Healthcare Quality Reporting & Improvement (HQRI) ... that leads Humana's Stars and..
... 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..
... oversee a pro-active claims and risk management program, ensuring a consistent and ... expense payments. The Office of Risk and Claims Management (ORCM), Division of Clinical Risk Management, identifies,..
... 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..
Job Information Humana Director, Behavioral Health Network & Market ... in Chicago Illinois Description The Director, Behavioral Health (BH) Network and ... model design (full or partial risk, PPPM, upside..
... (81) Operations (252) Physicians/Surgeons (1354) Quality/Risk Management (19) Type Contract (1) Fellowship ... Specialists Lake Barrington, Illinois Technical Director/Registered Vascular Technologist Opportunity in Eugene, ... Transcriptionist- PRN Nights Mary..
... Information Humana AVP, Stars and Risk Adjustment National Medical Director in Chicago Illinois Description The ... in Chicago Illinois Description The Healthcare Quality Reporting & Improvement (HQRI) ... national..
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 ..
