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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 ..
... Information Humana Care Team Medical Director in Meridian Idaho Description The ... Description The Care Team Medical Director is responsible for improving the ... up. The Care Team Medical..
Description Humana Healthy Horizons is seeking a Medical Director to help develop and execute on national strategic initiatives to provide care to women. This role will work directly with established programs ..
... and Risk Adjustment National Medical Director in Meridian Idaho Description The ... in Meridian Idaho Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and..
... challenge and change.' The Associate Director, Technology Solutions devises an effective ... IT business initiatives. The Associate Director, Technology Solutions requires a solid ... across department(s). Responsibilities The Associate..
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 ..
Job Information Humana Medical Director of Trend Analytics in Meridian ... organization is seeking a Medical Director of Trend Analytics. As a ... how trend initiatives align Guide program owners..
Job Information Humana Director of Public Policy in Meridian ... in Meridian Idaho Description The Director of Public Policy role resides ... 5 or more years of healthcare policy experience..
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, 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 Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director will provide..
Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in ... is seeking a Quality Improvement Program Lead who will be responsible ... of business. The Quality Improvement Program..
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, ..
... acumen to solve for the healthcare challenges of today. The Clinical ... organization is seeking a Medical Director of Clinical Informatics. This leader ... how trend initiatives align Guide..
Job Information Humana Director, Informatics in Meridian Idaho Description ... in Meridian Idaho Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..
Description The Behavioral Health Medical Director responsible for behavioral health care ... operations. The Behavioral Health Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director..
Job Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) in Meridian Idaho Description The Director, Behavioral Health (BH) Network and Market Strategy will insure that the appropriate providers are ..
Job Information Humana Oncology Market Director in Meridian Idaho Description The ... Meridian Idaho Description The Market Director, Oncology leverages targeted geographic analysis, ... Pharmacy for fulfillment. The Market Director,..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Meridian ... Meridian Idaho Description The Associate Director, Utilization Management Nursing utilizes clinical ... benefit administration determinations. The Associate Director,..
Job Information Humana Director, State Public Policy in Meridian ... in Meridian Idaho Description The Director of State Public Policy role ... 5 or more years of healthcare policy experience..
... 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 Meridian Idaho Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the clinical ..
Job Information Humana Director, Behavioral Health Strategy in Meridian Idaho Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care for ..