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Job Information Humana RN, Associate Director, Utilization Management (Long Term Care) ... is seeking a RN, Associate Director of Utilization Management for Long ... for members. The RN, Associate Director..
... The Lead Behavioral Health Medical Director oversees the work of 2 ... The Lead Behavioral Health Medical Director may also lead specific functional ... Directors. Responsibilities The Lead Medical..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires ..
... and Risk Adjustment National Medical Director in Tampa Florida Description The ... in Tampa Florida Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... daily work. Responsibilities The Medical Director provides medical interpretation and decisions ... of services provided by other healthcare..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
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 Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management who will lead teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care ..
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 relies on fundamentals of CMS ... Line of Business. The Medical Director provides medical interpretation and determinations ... whether services provided by other healthcare professionals are..
Job Information Humana Director, Medicaid Strategic Solutions in Tampa ... the mission of a leading healthcare company committed to improving the ... the health of the communities it serves. Responsibilities..
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 Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
... challenge and change.' The Associate Director, Technology Solutions devises an effective ... for executing and delivering on IT business initiatives. The Associate Director, Technology Solutions requires a solid .....
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'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 Humana is seeking an Associate Director, Quality Compliance Nursing that works with physicians/physician groups to ensure highest accountability of compliance and quality. The Associate Director, Quality Compliance Nursing requires a ..
Description The Associate Director, Full Stack Engineering Performs software ... at the front-end. The Associate Director, Full Stack Engineering requires a ... for one of the leading healthcare organizations. Reporting..
