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Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..
Job Information Humana Manager, Utilization Management Nursing - Medicare ... Charlotte North Carolina Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
Job Information Humana Manager, Pharmacy and Medical Trend in Charlotte North Carolina Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and ..
Are you looking for an extraordinary growth and leadership opportunity with a top company in a fast-growing industry? Would you like that growth and success to be part of making a ..
Childcare Director in Training | Charlotte Area The Sunshine House Early Learning Academy is seeking a Director in Training for our schools in the Charlotte area. Are you looking for a ..
Job Information Humana Medicare/Medicaid Program Manager -- Remote in Charlotte North ... looking for an experienced Program Manager (internally known as an Acquisition ... contracts. As a Medicaid/Medicare Program Manager..
Job Information Kindred at Home RN Clinical Manager - Gastonia, NC in Gastonia North Carolina The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, ..
... with stakeholders including distributors and healthcare professionals. Responsible for pursuing leads, ... leader in medical technology and healthcare solutions. Rooted in our long ... commercialization of affordable and scalable..
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 ..
Job Information Kindred at Home RN Clinical Manager in Gastonia North Carolina The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, ..
Job Information Humana Manager, Utilization Management RN - Remote ... Charlotte North Carolina Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Description The Director, Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking and forecasting, supports financial sales analysis and market event news. This position will work and collaborate with ..
... and other members of the healthcare team to interpret, adjust, and ... Recommend disciplinary action to Clinical Manager and initiate as appropriate. Ensure ... the absence on the Clinical..
Job Information Kindred at Home RN Clinical Manager Home Health Full Time in Greenville North Carolina The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. ..
Description The Clinical Education National Director will directly lead a team of clinicians educating all PCO clinicians on VBC best practices and efficiencies spanning multiple regions and teams where CenterWell and/or ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Job Information Humana Technical Product Manager - Remote in Charlotte North ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
Job Information Humana Senior Project Manager -- Remote in Charlotte North ... Carolina Description The Senior Project Manager manages all aspects of a ... within budget. The Senior Project Manager..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
PURPOSE AND SCOPE:Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure provision of quality patient ..
... Job Title: Nurse Medical Case Manager Company: Travelers Insurance Category: Claims ... by @TRV_Careers Nurse Medical Case Manager Charlotte, North Carolina Company Summary ... Category Nurse - Medical Case..
