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... responsibility for trend management. Oversee regional utilization management and case management ... communications. Oversee administrative budget for regional HSO & Quality Improvement including ... offices and IPAs. Participate in..
... Louisiana Description Responsibilities Humana's Corporate Marketing team is looking for a ... engagement. Key Responsibilities Collaborate with Marketing, regional Neighborhood Center leadership and other ... Qualifications Bachelor's degree, preferably..
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 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 ..
... in Metairie Louisiana Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... across the enterprise to support..
Description The Healthcare Financial Analyst collects, analyzes, and ... Central Region is seeking a Healthcare Financial Analyst to partner closely ... role will have exposure to regional leadership and external..
... or community groups to support regional market priorities, which may include ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..
Description Humana Healthy Horizons in Louisiana is seeking a Crisis Service Liaison to join our growing team. The Crisis Service Liaison will have the primary responsibility of educating providers and those ..
... in Metairie Louisiana Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
Description Healthcare isn't just about health anymore. It is about caring for family, friends, finances, and personal life goals. It's about living life fully. At the Primary Care Organization, a division ..
... Team in Metairie Louisiana Description Healthcare isn't just about health anymore. ... of our members, and the healthcare industry. Responsibilities In this role, ... the organization in recruiting and..
... of services provided by other healthcare professionals in compliance with review ... or community groups to support regional market priorities, which may include ... whether services provided by other..
Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..
Description Humana Healthy Horizons in Louisiana is seeking a Manager, Community Management who will work to reduce health disparities and promotes health equity and population health. The Manager, Community Management is ..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
Description The Community Engagement/Management Professional 2 cultivates the organization's social community through community advocacy programs and active engagement with community members. The Community Engagement/Management Professional 2 work assignments are varied and ..
