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... Senior Provider Engagement Dedicated Care Manager develops and grows positive, long-term ... relationships with physicians, providers and healthcare systems in order to support ... performance within the contracted working..
Description The Clinical Pharmacy Lead 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, and/or ..
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 ..
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 ..
As a TeamHealth post-acute medical director, you will provide oversight, guidance, and mentorship to our clinicians within the greater Richmond, Virginia, area. In this role, you will conduct clinical case reviews ..
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 ..
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 ..
Job Information Humana Technical Product Manager - Remote in Glen Allen ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
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 Humana Senior Project Manager -- Remote in Glen Allen ... Virginia Description The Senior Project Manager manages all aspects of a ... within budget. The Senior Project Manager..
Job Information Humana Manager, Utilization Management Nursing - Medicare ... Glen Allen Virginia Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... home anywhere The Senior Product Manager ideates,..
Job Information Humana Manager, Pharmacy and Medical Trend in Glen Allen Virginia Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and ..
Job Information Humana Medicare/Medicaid Program Manager -- Remote in Glen Allen ... looking for an experienced Program Manager (internally known as an Acquisition ... contracts. As a Medicaid/Medicare Program Manager..
... a strong rapport with the healthcare consumer, host and community. Represent ... and ongoing initiatives. *Foster professional relationship with collaborating physicians, other healthcare providers, educational institutions and professional .....
**Job ID** 2022-160060 **JOB OVERVIEW** **_It makes me feel good knowing that we make the residents lives better. We laugh with them, cry with them, sing and dance with them we ..
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 Manager, Utilization Management RN - Remote ... Glen Allen Virginia Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
