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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 ..
... Humana is a Fortune 60 healthcare company with a history of ... top place to work in healthcare, especially in areas of Diversity ... a personalized, seamless and easy..
Job Information Humana Director, State Public Policy in Overland ... Overland Park Kansas Description The Director of State Public Policy role ... 5 or more years of healthcare policy experience..
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,..
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 ..
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 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 ..
Description The Director of Product Management for Clinical ... business acumen. Responsibilities As the Director of Product Management for Clinical ... insights Bachelor's degree in Business, Healthcare Administration or other..
Job Information Humana Director, Medicaid Strategic Solutions in Overland ... the mission of a leading healthcare company committed to improving the ... resources to achieve growth The Director, Medicaid Strategic..
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 ..
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 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, 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 ..
... Internal Number: 22003755 Description Nursing Director AdventHealth Shawnee Mission Medical, Dental ... specialty Job Summary: The Nursing Director has accountability, authority and responsibility ... an assigned environment(s). The Nursing..
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 of Public Policy in Overland ... Overland Park Kansas Description The Director of Public Policy role resides ... 5 or more years of healthcare policy experience..
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 ..
... and Risk Adjustment National Medical Director in Overland Park Kansas Description ... Overland Park Kansas Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and..
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 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 ... and reviews health claims. The Director, Physician Leadership requires an in-depth ... function or segment. Responsibilities The Director, Physician Leadership provides..
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 ..