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Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The Medical Director actively uses..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Charleston ... West Virginia Description The Associate Director, Utilization Management Nursing utilizes clinical ... benefit administration determinations. The Associate Director,..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
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. ..
... an experienced and dynamic Associate Director of Accreditation to manage a ... and external stakeholders. Work at Home Requirements At minimum, a download ... who live and work from..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... team as Associate Vice President,..
... is looking for an Associate Director of Data Science to lead ... adverse health events. The Associate Director must be able to effectively ... problems being encountered. The Associate..
... The Lead Behavioral Health Medical Director oversees the work of 2 ... The Lead Behavioral Health Medical Director may also lead specific functional ... Directors. Responsibilities The Lead Medical..
Description The Director, Clinical Pharmacy Drug Evaluation and ... manufacturers and providers. Responsibilities The Director, Clinical Pharmacy Drug Evaluation and ... who work outside of their home to submit proof..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... daily work. Responsibilities The Medical Director provides medical interpretation and decisions ... of services provided by other healthcare..
... challenge and change.' The Associate Director, Technology Solutions devises an effective ... IT business initiatives. The Associate Director, Technology Solutions requires a solid ... across department(s). Responsibilities The Associate..
Job Information Humana Associate Director, Site Reliability Engineering in Charleston ... West Virginia Description The Associate Director, Site Reliability Engineering maintains, integrates ... within the organization. The Associate Director, Site..
... to the National Medicaid Quality Director. Responsibilities The Quality Improvement Program ... 3 years of experience managing Healthcare Quality programs OR 8 years ... have a room in your..
Description The Medical Director actively uses their medical background, ... daily work. Responsibilities The Medical Director's work includes computer-based review of ... within their scope. The Medical Director may speak..
Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical Director provides medical interpretation and determinations ... whether services provided by other healthcare professionals are..
Job Information Humana Director, Behavioral Health Strategy in Charleston ... Charleston West Virginia Description The Director, Behavioral Health (DBH) will ensure ... their behavioral health needs. The Director, Behavioral Health..
... round of interviews. Work at Home Guidance To ensure Home or Hybrid Home/Office associates' ability to work effectively, ... the self-provided internet service of Home or Hybrid Home/Office associates..
Job Information Kindred at Home Physical Therapist Assistant, Home Health Full Time in Charleston ... Charleston West Virginia As a Home Health Physical Therapist Assistant , ... Notify physical therapist..
Genesis is one of the nations' leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how ..
Job Information Humana Director, Provider Contracting - Behavioral Health ... Charleston West Virginia Description The Director, Provider Contracting - Behavioral Health ... Medicaid health insurance. Responsibilities The Director, Provider Contracting..
Job Information Humana Director, Informatics in Charleston West Virginia ... Charleston West Virginia Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..
Job Information Humana Director of Public Policy in Charleston ... Charleston West Virginia Description The Director of Public Policy role resides ... 5 or more years of healthcare policy experience..
