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... 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 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..
Job Information Humana Lead Product Manager - Healthcare API in Portsmouth ... Hampshire Description The Lead Product Manager - Healthcare API (SME) as ... and accountability in the overall strategy..
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..
... responsible for behavioral health care strategy and/or operations. The Behavioral Health ... Health Medical Director will provide clinical oversight to Behavioral Health (BH) ... Behavioral Health (BH) administrative and..
... 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 Portsmouth New ... Hampshire Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, ... and medical literature, while providing clinical..
... with questions and mentoring of clinical staff Reviews and resolves escalated ... Reviews inventory reports and assists management with data tracking to identify ... reviews for requested services using..
... 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 ... 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 ... leading teams focusing on quality management, utilization management, discharge planning and/or home health ... Preferred Qualifications Experience..
... Information Humana Director, Behavioral Health Strategy in Portsmouth New Hampshire Description ... Develop strategic initiatives for overseeing clinical integrity, especially for utilization and case management activities. This includes developing..
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 -..
... 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..
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:..
Description The Managing Clinical Pharmacist within the Pharmacy Claim ... and medical literature, while providing clinical and audit support for internal ... mitigate cost trend. The Managing Clinical Pharmacist -..
... 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..
... 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..
... 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 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..
