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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..
Job ID 21000INQAvailable Openings 1DescriptionProvide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient’s future—as well as your own. Connect with ..
... Carolina 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..
... 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 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 ..
... Lancaster South Carolina Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... across the enterprise to support..
... state. Responsibilities The VP, Medicaid Regional President manages the development, operations, ... from across the Medicaid and healthcare industry Effectively support the growth ... Required Bachelor's degree in Business,..
... a top 10 national home healthcare company with an overall 50 ... and family centered medical home healthcare, home hospice, private duty homecare ... patient care Competitive pay with..
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..
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 ..
... 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 The Market VP, Medical serves as a health-care professional and capable of handling a variety of health-related problems. The Market VP, Medical requires a in-depth understanding of how organization capabilities ..
... Lancaster South Carolina Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
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. ..
... 50 market leader in integrated healthcare delivery. As a company whose ... Humana is seeking an accomplished healthcare leader for the position of ... leader for the position of..
Oncology Business Specialist -- Greenville, SC Do you want to be part of a team that works every day to develop innovative therapies for patients? Do you want to be part ..
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 ..
Job Information Humana Senior Market Development Professional - Remote Opportunity in Lancaster South Carolina Description The Senior Market Development Professional will be instrumental in driving the CNFL Region's product strategy and ..