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Job Information Humana Humana at Home Partnerships Lead- WAH Nationwide in Portland Maine Description The Clinical Business Lead builds and influences strategies for development, engagement, best practices and processes for Provider ..
... 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..
Job Information Humana Medical Director - Texas in Portland Maine Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to ..
... 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..
Allied Health (1) Executive (86) General Nursing (2343) Nursing Support (173) Operations (315) Quality/Risk Management (23) Type Contract (0) Fellowship (0) Full Time (434) Locum Tenens (0) Part Time (13) Partnership ..
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 ..
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. ..
... 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..
... in Portland Maine 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..
... in Portland Maine Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
... of services provided by other healthcare professionals in compliance with review ... working with health insurance other healthcare providers, patient interaction, etc. Internal ... their home. We are a..
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 ..
... or community groups to support regional market care facilitation and priorities, ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..
... Market LeaderOrganize Genesis sales and marketing resources around market dynamics, referral ... impact occupancy*Establish and lead digital marketing strategy, empower nursing center teams ... through the delivery of high-quality..
... Maine 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 ..