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Description The Director, Provider Reimbursement is responsible for the leadership, strategy development and execution of Humana Military's provider reimbursement methodologies. This leader is responsible for timely and accurate implementation of Government ..
Description The Director, QOCA Strategy - serves as the strategic leader in resource utilization; budget and MER oversight; vendor oversight; and for clinician and non-clinician flex associates and off-shore vendor associates ..
Description Responsibilities The Associate Director Medical/Financial Risk Evaluation leads a few powerful teams dedicated to reducing waste and abuse in the health care industry and its impacts on Humana. These teams ..
Job Information Humana Director, State Public Policy in Phoenix Arizona Description The Director of State Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public policy ..
OverviewOrthopaedic & Neurological Rehabilitation, Inc. (ONR) is a therapist-owned rehab company that is nationally recognized for the quality care we provide in Skilled Nursing, Independent Living, Assisted Living and Memory Care ..
Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides managed Medicaid health insurance. Requires an ..
Description The Director of Health Services for National Medicaid Clinical Operations utilizes clinical skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Director, Health ..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Phoenix Arizona Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the clinical ..
Description Humana is a Fortune 60 healthcare company with a history of successful innovation and reinvention, with over 50 years as a proven leader and innovator in the health and wellness ..
Description The Director, Medical Coding extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Director, Medical ..
Job Information Humana Director of Public Policy in Phoenix Arizona Description The Director of Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public policy development ..
TITLE: Director Perioperative Services (Nursing) (85K )LOCATION: ... to enjoy a career/life balance.Summary:The director is responsible for integrating their ... the hospitals primary functions. The director coordinates and integrates services..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Phoenix Arizona Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..
Job Information Humana Director, Informatics in Phoenix Arizona Description ... in Phoenix Arizona Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..
Job Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) in Phoenix Arizona Description The Director, Behavioral Health (BH) Network and Market Strategy will insure that the appropriate providers are ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Description The Director, Strategy Advancement provides data-based strategic direction identifying and delivering new avenues of growth is a critical company priority, championed by the SVP of Retail Strategy & Product. We're ..
Job Information Humana Director, Behavioral Health Strategy in Phoenix Arizona Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care for ..
Description The Director, Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking and forecasting, supports financial sales analysis and market event news. This position will work and collaborate with ..
Description The Director of Product Management for Clinical Pharmacy Products develops and evaluates new product ideas, enhance existing products or strategic product extensions, and translates research discoveries into marketable products. This ..
Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. The National Medicaid Director of ..
Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides health insurance. Requires an in-depth understanding of ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Phoenix Arizona ... Phoenix Arizona Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..