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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 ..
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 ..
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 Overland Park Kansas Description The Director of State Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public ..
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, Physician Leadership relies on medical background and reviews health claims. The Director, Physician Leadership requires an in-depth understanding of how organization capabilities interrelate across the function or segment. ..
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 ..
Job Information Humana Director, Medicaid Strategic Solutions in Overland Park Kansas Description Humana Medicaid is seeking exceptional candidates to join our Medicaid Product Strategy & Optimization Organization in order to support ..
Description Humana is seeking an experienced management professional to lead an interactive team with broad exposure and scope within Humana. This position will work and collaborate with leaders across the Humana ..
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 ..
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, 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, Behavioral Health Strategy in Overland Park Kansas Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care ..
Job Information Humana Director of Public Policy in Overland Park Kansas Description The Director of Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public policy ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Overland Park ... Park Kansas Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
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, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Overland Park Kansas Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the ..
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 Director, Behavioral Health Network & Market Strategy (Medicaid) in Overland Park Kansas Description The Director, Behavioral Health (BH) Network and Market Strategy will insure that the appropriate providers ..
Job Information Humana Director, Informatics in Overland Park Kansas ... Overland Park Kansas Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Overland Park Kansas Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that ..
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 ..
