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Description Healthcare isn't just about health anymore. ... of our patients, and the healthcare industry as a whole. As ... a whole. As a senior-focused healthcare provider, and subsidiary of..
Job Information Humana Market President, Primary Care Organization - Kansas City Area in Olathe Kansas Description Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused ..
Job Information Humana Market President, Primary Care Organization - Kansas City Area in Kansas City Kansas Description Humana's Primary Care Organization is one of the largest and fastest growing value-based care, ..
Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..
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 ..
Job Information Kindred at Home Healthcare Claims Denials and Appeals Specialist in Overland Park Kansas As ... Kansas As an Accounts Receivable Specialist , you will: Ensure the ... claims..
Description Responsibilities As part of the Service Fund Specialty Load Team, the Senior Provider Installation Professional will work directly with our national and market contracting teams to influence specialist contract terms ..
Description Humana's Marketing organization is seeking an experienced Market Research Lead to join the Market Research Department working remote anywhere in the U.S. This is a newly added role that will ..
Job Description Mission: Within the Innovation and Development department, the apllication specialists team of around 6 people supports the IBA project team on customer acceptance, training and commissioning of IBA Proton ..
Job Information Humana Market President, Primary Care Organization - Kansas City Area in Kansas City Missouri Description Humana's Primary Care Organization is one of the largest and fastest growing value-based care, ..
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 ..
... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..
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 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 Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..
Job Information Humana Care Management Supervisor (Prescription Assistance Program)- CenterWell-Remote in Overland Park Kansas Description The Supervisor, Care Management leads teams of health professionals responsible for assessing and evaluating patient's needs ..
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 ..
... Home Licensing and Regulatory Compliance Specialist in Overland Park Kansas As ... a Licensing and Regulatory Compliance Specialist , you will: Prepare and ... on behalf of the company’s..
Job Information Humana FP&A Lead, Medicaid Market in Overland Park Kansas Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina ..
... looking for an experienced Senior Healthcare Investigator to join its industry ... Qualifications Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 3 years of..