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... Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... approach to providing strategic thought leadership to identify and address complex ... Claims, Grievance and Appeals, Market..
Description The Pharmacy Clinical Advisor Professional 2 is an integral part of the Pharmacy Stars team which is accountable for Humana's Patient Safety and medication related Star measure performance. The Pharmacy ..
Job Information Humana Healthcare Services Senior Learning Design Professional-Remote in Anchorage Alaska Description The Senior Learning Design Professional uses instructional design, cognitive psychology and adult learning theory to determine the appropriate ..
Overview This position establishes and manages the fundraising programs for the Greater Fairbanks Hospital Foundation. This position cultivates both internal and external relationships in order to implement significant fundraising goals. Provides ..
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 ..
... operations in areas of responsibility LEADERSHIP: Provide visionary leadership in the professional practice setting ... setting and the profession. Uses leadership principles to anticipate and influence ... PRACTICE EVALUATION:..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
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 ..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an accomplished healthcare leader for the newly-created role ... quality, appropriate, and cost-effective behavioral..
Overview This position provides supervision and support of clinical operations, staff, and patients. Manages finances and personnel to ensure appropriate allocation of resources in providing quality patient care. Relocation, Commitment Bonus ..
Job Information Humana Strategy Advisor, Healthcare Strategy in Anchorage Alaska Description ... Alaska Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..
... responsible for informing Humana's thought leadership, advocacy, and overall strategic positioning. ... of State Affairs and business leadership anticipating legislative and regulatory trends ... 5 or more years of..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ..
Job Description & RequirementsPhysical Therapist - Outpatient - (PT)StartDate: ASAP Available Shifts: 8 D Pay Rate: $1550.00 - 1900.00Excellent, state of the art OP facility is looking for a highly motivated ..
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 Manager, Medical Coding oversees the coding team that is reviewing inpatient records for appropriate coding to include ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific guidelines ..
... for one of the leading healthcare organizations. Reporting to Director of ... by delivering personalized, simplified, whole-person healthcare experiences. The Associate Director, Full ... forecasts (labor and non-labor). Provide..
Overview Assesses, plans, implements, evaluates, and documents nursing care of patients in a non-acute environment. Provides care in accordance with organizational policies, and in accordance with standards of professional nursing practice, ..
