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Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities Job..
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Description As the Director, Sales Product -Employer Group you will be responsible for defining and executing upon the sales product strategy & enablement plans across specific local markets and lines of ..
... drug manufacturers and providers. The Director, Pharmacy Clinical Formulary and Medical Strategies requires a broad understanding ... execute on the formulary and medical drug strategies. Responsibilities The Director, Pharmacy..
Description Responsibilities The purpose of the Director, Strategy Advancement, Chief of Staff to the SVP, Employer Group is to work with the Employer Group leadership team on segment strategies. Advises and ..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... of variable factors. Responsibilities..
Description The Director, Group Provider Strategy partners with the assigned Employer Group Market Presidents within the Region on the Employer Group provider strategy, provider performance and health plan contract compliance. The ..
Description The Vendor Quality Medical Director will manage clinical vendor quality ... Team. Responsibilities A full time Medical Director to manage clinical vendor quality ... to review quality audit findings,..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Commercial requirements ... daily work. Responsibilities Title:..
Job Information Humana Director of IT Learning and Talent ... in Rogers Arkansas Description The Director, Learning Design uses instructional design, ... knowledge or performance gap. The Director, Learning Design..
Description The Associate Director, Utilization Management Nursing utilizes clinical ... coordination, documentation and communication of medical services and/or benefit administration determinations. ... benefit administration determinations. The Associate Director, Utilization Management..
... Responsibilities Title : Clinical Trend Medical Director Assignment: Enterprise Clinical Management, Clinical ... is seeking a Clinical Trend Medical Director. As a clinical trend leader ... that will positively..
Description The Director, Group Market Operations partners with the assigned Group Market Presidents on cost of care and profitable growth management, risk management and operations. The Market Operations Director requires an ..
Job Information Humana Director, IT Program Risk Management in Rogers Arkansas Description The Director, Program Risk Management is responsible for identifying and driving remediation of risks across Humana's IT portfolio. This ..
Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. The National Medicaid Director of ..
Job Purpose/Summary: This position is expected to lead and direct the Benefit Systems and Benefit Accounting team to provide related services, compliance and systems support for Tyson benefit plans, third party ..
Description Responsibilities The Associate Director Medical/Financial Risk Evaluation leads a few powerful teams dedicated to reducing waste and abuse in the health care industry and its impacts on Humana. These teams ..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Profile..
Description Humana is a Fortune 60 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of the ..
... be included in the patient medical records and support the provider ... Job Title: Your Home Advantage Medical Director Location: Louisville, KY or Work ... Certified in an approved..
