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Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Troy Michigan Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the clinical ..
Description Responsibilities The Director, Health Services uses clinical knowledge, communication and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or ..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Troy ... Troy Michigan Description The Associate Director, Utilization Management Nursing utilizes clinical ... benefit administration determinations. The Associate Director,..
Job Information Humana Medical Director of Trend Analytics in Troy ... organization is seeking a Medical Director of Trend Analytics. As a ... how trend initiatives align Guide program owners..
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 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 ..
... 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..
... 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..
Director of Compliance/HIPAA Privacy OfficernU.S. Medical ... continuum of care with premier healthcare providers, clinicians and patient focused ... of delivering quality & compassionate healthcare within proven care models with..
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 ..
... and Risk Adjustment National Medical Director in Troy Michigan Description The ... in Troy Michigan Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and..
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 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..
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..
... 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 Troy Michigan Description ... in Troy Michigan Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..
Job Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) in Troy Michigan Description The Director, Behavioral Health (BH) Network and Market Strategy will insure that the appropriate providers are ..
Job Information Humana Director, Behavioral Health Strategy in Troy Michigan Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care for ..
Job Information Humana Director, Medicaid Strategic Solutions in Troy ... the mission of a leading healthcare company committed to improving the ... resources to achieve growth The Director, Medicaid Strategic..
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..
Job Information Humana Oncology Market Director in Troy Michigan Description The ... Troy Michigan Description The Market Director, Oncology leverages targeted geographic analysis, ... Pharmacy for fulfillment. The Market Director,..
Job Information Humana Director, State Public Policy in Troy ... in Troy Michigan Description The Director of State Public Policy role ... 5 or more years of healthcare policy experience..
Job Information Humana Director of Public Policy in Troy ... in Troy Michigan Description The Director of Public Policy role resides ... 5 or more years of healthcare policy experience..