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... exempt position with responsibility for utilization management oversight and clinical decision-making as outlined in the ... section 4. Responsibilities The UM Manager will lead a team of ... Certified..
... to the Vice President, Medical Management Operations and serves as a ... functions related to HGB's Care Management programs to include predictive models, ... and corresponding support. Also leads..
Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to ... healthcare challenges of today. The Clinical Analytics and Trend team uses ... techniques, data analysis,..
Description The Lead Product Manager - Oncology leads or coordinates ... customer use. The Lead Product Manager - Oncology works on problems ... seniors. As the Lead Product Manager -..
... 2 Medical Directors who conduct clinical case reviews of the care ... Medical Director for the Humana Clinical Operations Behavioral Division is looking ... will be responsible for Managing..
Description The Lead Product Manager - leads or coordinates cross-functional ... customer use. The Lead Product Manager works on problems of diverse ... seniors. As the Lead Product Manager you..
... Associate Vice President, Behavioral Health Strategy. In this role, you will ... for evolving Humana's behavioral health strategy, with a focus on our ... across the enterprise (e.g., with..
Job Information Humana Associate VP, Clinical Pharmacy (Remote) in Green Bay ... Wisconsin Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, ... and medical literature, while providing clinical..
... Health Medical Director will provide clinical oversight to Behavioral Health (BH) ... Behavioral Health (BH) administrative and clinical programs for TRICARE beneficiaries. They ... the day-to-day administration and strategic..
Description The Director of Product Management for Clinical Pharmacy Products develops and evaluates ... As the Director of Product Management for Clinical Pharmacy Products, you will be ... Humana's Pharmacy-based..
Job Information Humana Clinical Strategy Manager - Utilization Management in Green Bay Wisconsin Description ... Green Bay Wisconsin Description The Clinical Strategy & Analytics team is a ... value to..
... standards. Begins to influence department's strategy. Makes decisions on moderately complex ... with 5 years of established clinical experience Knowledge of the managed ... leading teams focusing on quality..
... standards. Begins to influence department's strategy. Makes decisions on moderately complex ... degree 5 years of direct clinical patient care experience post residency ... in teams focusing on quality..
... resources which may include national clinical guidelines, Humana contract language, Humana ... and determinations, medical necessity criteria, clinical reference materials, internal teaching conferences, ... standards. Begins to influence department's..
Description The Associate Director, Product Management is accountable for Humana's Care ... is accountable for Humana's Care Management technology portfolio, specifically for Salesforce ... Responsibilities The Associate Director, Product Management:..
Job Information Humana Lead Product Manager - Healthcare API in Green ... Wisconsin Description The Lead Product Manager - Healthcare API (SME) as ... and accountability in the overall strategy..
Description The Senior Workforce Management Professional applies and integrates advanced ... staffing, learning and development, talent management, diversity and human resource compliance). ... resource compliance). The Senior Workforce Management Professional..
... resources which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, ... of moderately complex to complex..
... standards. Begins to influence department's strategy. Makes decisions on moderately complex ... leading teams focusing on quality management, utilization management, discharge planning and/or home health ... Preferred Qualifications Experience..
... The Director, Health Services utilizes clinical nursing skills to support the ... The Director, Health Services uses clinical knowledge, communication skills, and independent ... performance. Provides input into functions..
... Information Humana Director, Behavioral Health Strategy in Green Bay Wisconsin Description ... Develop strategic initiatives for overseeing clinical integrity, especially for utilization and case management activities. This includes developing..
