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Job Information Humana Medical Director - S. Florida in Metairie ... Metairie Louisiana Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..
Job Information Humana Director, Behavioral Health Network & Market ... in Metairie Louisiana Description The Director, Behavioral Health (BH) Network and ... RFP development and implementation. This position will work..
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 Associate Director, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, ..
Description The Medical Director's primary responsibility is the review ... level of care. The Medical Director's work assignments involve moderately complex ... of health. Responsibilities The Medical Director actively uses..
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 Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The Medical Director actively uses..
Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ..
Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical Director provides medical interpretation and determinations ... whether services provided by other healthcare professionals are..
Description The Medical Director actively uses their medical background, ... daily work. Responsibilities The Medical Director's work includes computer-based review of ... within their scope. The Medical Director may speak..
Description The Associate Director, Provider Contracting initiates, negotiates, and ... contracts and agreements. The Associate Director, Provider Contracting requires a solid ... across department(s). Responsibilities The Associate Director, Provider Contracting..
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 Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director will provide..
Job Information Humana Director, Medicaid Strategic Solutions in Metairie ... the mission of a leading healthcare company committed to improving the ... of providing frameworks to maximize available resources to..
Job Information Humana Director, State Public Policy in Metairie ... in Metairie Louisiana Description The Director of State Public Policy role ... team. The person in this position will report..
... challenge and change.' The Associate Director, Technology Solutions devises an effective ... IT business initiatives. The Associate Director, Technology Solutions requires a solid ... across department(s). Responsibilities The Associate..
... and Risk Adjustment National Medical Director in Metairie Louisiana Description The ... in Metairie Louisiana Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and..
Job Information Humana Director, Informatics in Metairie Louisiana Description ... in Metairie Louisiana Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..
Description The Behavioral Health Medical Director responsible for behavioral health care ... operations. The Behavioral Health Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director..