Director Jobs in Delaware

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 ..

Description The Director, Process Improvement analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Director, Process Improvement requires an in-depth understanding ..

Job Information Humana Director of Public Policy in Dover Delaware Description The Director of Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public policy development ..

Description The Director, Health Services Nursing serves as ... building out clinical capabilities. The Director will be responsible for driving ... and financial stewardship Responsibilities The Director, Utilization Management Behavioral..

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 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 ..

Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Dover Delaware Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the clinical ..

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 ..

Job Information Humana Director, Medicaid Strategic Solutions in Dover Delaware Description Humana Medicaid is seeking exceptional candidates to join our Medicaid Product Strategy & Optimization Organization in order to support the ..

Job Information Humana Director, Behavioral Health Strategy in Dover Delaware Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care for ..

Job Information Humana Director, Contract Tools, Education, Processes (remote ... in Dover Delaware Description The Director, Contract Tools, Education, Processes manages ... best in class knowledge. The Director, Contract Tools,..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Dover Delaware ... Dover Delaware Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..

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 ..

Job Information Humana Director, State Public Policy in Dover Delaware Description The Director of State Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public policy ..

Job Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) in Dover Delaware Description The Director, Behavioral Health (BH) Network and Market Strategy will insure that the appropriate providers are ..

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 ..

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 ..

Description The Director, Corporate Communications develops and coordinates lines of communication outside the department. The Director, Corporate Communications requires an in-depth understanding of how organization capabilities interrelate across the function or ..

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 ..

Job Information Humana Director, Informatics in Dover Delaware Description ... in Dover Delaware Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..

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 ..

Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Dover Delaware Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..