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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 ..
Job Information Humana Medical Director - Texas in Washington District Of Columbia Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
... or community groups to support regional market care facilitation and priorities, ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..
Description The RN Case Management Process Advisor also known as a Case Management Liaison (CML) will oversee the processing of referrals from Military Treatment Facilities (MTFs) and civilian providers. The RN ..
... wellness and continued learning. The Manager, Psychology will be a member ... interns, externs and fellows. The Manager will coordinate appropriate training to ... instruction mandates, as appropriate. The..
... District Of Columbia Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... across the enterprise to support..
Job Information Humana Regional VP, Health Services (Mid-Atlantic Region) ... District Of Columbia Description The Regional VP, Health Services relies on ... and reviews health claims. The Regional VP, Health..
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,..
... 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 Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
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 ..
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 ..
02/20/2022 Category: Public and Environmental Health Assistant Professor, Epidemiology and Data Science -- Center for Global Health Practice and Impact Georgetown University: Medical Center: School of Medicine: BGRO Clinical: Infectious Diseases ..
... District Of Columbia Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
... RCPI will report to the Manager, Pulmonary Diagnostics Lab, for operational ... Lab, for operational oversight. The Manager will provide oversight of the ... main lab, the inpatient lab,..
Description The faculty dentist is responsible for the care of patients in the hospital and clinics, as well as research, educational and advocacy initiatives as determined by the Division Chief and/or ..
