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... Clinical Analytics and Trend Program Manager in Bethesda Maryland Description The ... Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... their skills to assist with..
... acumen to solve for the healthcare challenges of today. The Clinical ... team uses advanced scientific techniques, data analysis, forecasting, and clinical acumen ... anywhere The Clinical Trend Program..
... the analysis of situations or data requires an in-depth evaluation of ... of services provided by other healthcare professionals in compliance with review ... written communication skills. Evidence of..
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 ..
... for an Associate Director of Data Science to lead a team ... to lead a team of data scientists who building machine learning ... this to the team of..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Bethesda Maryland Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..
Description Job Description Summary 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 ..
... 40) market leader in integrated healthcare with a clearly defined purpose ... results, persuasiveness through logic and data, and knowledge of how to ... optimization using A/B testing and..
... and summarizes hospital specific volume data and trends. Assists with financial ... audit impact accruals, uncompensated care data, market shift analysis, exclusion reports ... and submits various reports and..
Job Information Humana Data Manager / ETL Developer - Primary ... in Bethesda Maryland Description The Data Manager 2 supports all aspects of ... all aspects of configuration control, data..
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 ..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an accomplished healthcare leader for the newly-created role ... quality, appropriate, and cost-effective behavioral..
... the analysis of situations or data requires an in-depth evaluation of ... whether services provided by other healthcare professionals are in agreement with ... whether services provided by other..
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 ..
... the analysis of situations or data requires an in-depth evaluation of ... whether services provided by other healthcare professionals are in agreement with ... written communication skills. Evidence of..