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Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Anchorage Alaska Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Anchorage Alaska Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the clinical ..
... in Anchorage Alaska Description This leader will oversee a team charged ... biosimilar pipeline. Responsibilities Be a leader within an interactive team with ... finance and/or business related pharmacy..
... protocols of care. Evaluate nursing practice that considers Safety, Timeliness, Effectiveness, ... and institutional standards. Collaborate with healthcare delivery team to transition patients ... data from consultations to implement..
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 ..
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 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 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 ..
... effectiveness, cost, and impact on practice in the planning and delivery ... visionary leadership in the professional practice setting and the profession. Uses ... of the patient QUALITY OF..
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, Full Stack Engineering Performs software engineering activities in all layers of the stack, from setting up the database to programming in the back-end and the appearance at ..
Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate ..
... acumen to solve for the healthcare challenges of today. The Clinical ... Director of Clinical Informatics. This leader will employ a rigorous evidence ... Firstly, as a clinical informatics..
... Analytics. As a clinical trend leader you will support enterprise trend ... relevant clinical leading indicators. This leader will employ a rigorous evidence ... (MD or DO) 3 clinical..
... of services provided by other healthcare professionals in compliance with review ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
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 ..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Anchorage Alaska Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of ..
... whether services provided by other healthcare professionals are in agreement with ... Delivery Systems, health insurance, other healthcare providers, clinical group practice management. Utilization management experience in ... or..
... Senior nurse Clinical Strategy and Practice role in site selection of ... markets through the analysis of healthcare data, identification of target patient ... markets. The Clinical Strategy and..
**Providence is calling a Registered Nurse (RN) Manager -** **Long Term Care (Nursing Administration, Day Shift, 1.0 FTE) to Providence Extended Care in Anchorage, Alaska.** **We are a community of caregivers ..
