Director Jobs in Wesley Chapel

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 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 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 The Director, Coding and Risk Adjustment ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and federal regulations as well as internal policies ..

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

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 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, 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, Behavioral Health Network & Market Strategy (Medicaid) in Tampa Florida Description The Director, Behavioral Health (BH) Network and Market Strategy will insure that the appropriate providers are ..

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

Job Information Humana Director, Provider Contracting LTC Medicaid, FL (Tampa preferred) in Tampa Florida Description The Director, Network Development, Long Term Care oversees the strategic development, including provider services, provider engagement ..

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

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, 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. ..

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

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

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

Job Information Kindred at Home Area Director Nursing & Rehab in Tampa Florida The Director, Area Nursing/Rehab Specialty Focus will direct management of multiple Specialty locations across a geographic area(s). Oversee/guide ..

Job Information Humana Director, Care Management in Tampa Florida Description The Director of Care Management provides oversight to ensure the company's Long Term Services and Support care management and contractual performance ..

Job Information Humana Director, Behavioral Health Operations for Medicaid in Tampa Florida Description The Director, Behavioral Health Operations for Medicaid will help build strategy for development and implementation of best practices ..

Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Tampa Florida 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 ..