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Description The Director, Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Director, Provider Contracting requires an in-depth ..
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 ..
Job Information Humana Associate Director Utilization Management in Tampa Florida ... are looking for an Associate Director, Utilization Management to utilize clinical ... benefit administration determinations. The Associate Director, Utilization..
Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to solve for the healthcare challenges of today. The Clinical Analytics and Trend team uses advanced scientific techniques, ..
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, 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 ..
... is looking for an Associate Director of Data Science to lead ... adverse health events. The Associate Director must be able to effectively ... problems being encountered. The Associate..
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 ..
Job Information Humana Director, State Public Policy in Tampa ... in Tampa Florida Description The Director of State Public Policy role ... 5 or more years of healthcare policy experience..
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 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, Provider Contracting LTC Medicaid, FL ... in Tampa Florida Description The Director, Network Development, Long Term Care ... Medicaid Managed Care Contract. The Director will assess..
... 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..
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 ..
... acumen to solve for the healthcare challenges of today. The Clinical ... Title : Clinical Trend Medical Director Assignment: Enterprise Clinical Management, Clinical ... seeking a Clinical Trend Medical..
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 Humana is seeking a Director of Strategy with significant strategy consulting experience to manage and deliver strategy projects and analysis on behalf of our Medicare Prescription Drug Plan business. You'll ..
Description Healthcare isn't just about health anymore. It is about caring for family, friends, finances, and personal life goals. It's about living life fully. At the Primary Care Organization, a division ..
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, Informatics in Tampa Florida Description ... in Tampa Florida Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..
Description The Associate Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
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..
