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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 Sandy Utah 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 ..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Sandy ... Sandy Utah Description The Associate Director, Utilization Management Nursing utilizes clinical ... benefit administration determinations. The Associate Director,..
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 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 As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. The National Medicaid Director of ..
Job Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) in Sandy Utah Description The Director, Behavioral Health (BH) Network and Market Strategy will insure that the appropriate providers are ..
Job Information Humana Medical Director of Trend Analytics in Sandy ... organization is seeking a Medical Director of Trend Analytics. As a ... how trend initiatives align Guide program owners..
... 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 Oncology Market Director in Sandy Utah Description The ... Sandy Utah Description The Market Director, Oncology leverages targeted geographic analysis, ... Pharmacy for fulfillment. The Market Director,..
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..
... 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 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 ..
Job Information Humana Director, Behavioral Health Strategy in Sandy Utah Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care for ..
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 ..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Sandy Utah Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the clinical ..
... and Risk Adjustment National Medical Director in Sandy Utah Description The ... in Sandy Utah Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and..
... 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..
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, Informatics in Sandy Utah Description ... in Sandy Utah Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..
Job Information Humana Director of Public Policy in Sandy ... in Sandy Utah Description The Director of Public Policy role resides ... 5 or more years of healthcare policy experience..
Job Information Humana Director, State Public Policy in Sandy ... in Sandy Utah Description The Director of State Public Policy role ... 5 or more years of healthcare policy experience..