Clinical Strategy Manager Utilization Management Jobs in Ridgeland, Mississippi | ManagerCrossing.com


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32

Clinical Strategy Manager Utilization Management Jobs in Ridgeland





Job info
 
Company
**********
Location
Ridgeland, MS
Posted Date
Feb 23, 2021
Info Source
Employer  - Full-Time  90  

... 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..

 
Company
Humana Inc.
Location
Ridgeland, MS
Posted Date
Mar 23, 2021
Info Source
Employer  - Full-Time  90  

... 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..

 
Company
**********
Location
Ridgeland, MS
Posted Date
Mar 25, 2021
Info Source
Employer  - Full-Time  90  

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,..

 
Company
Humana Inc.
Location
Ridgeland, MS
Posted Date
Sep 06, 2021
Info Source
Employer  - Full-Time  90  

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..

 
Company
**********
Location
Ridgeland, MS
Posted Date
Feb 19, 2022
Info Source
Employer  - Full-Time  90  

... 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..

 
Company
**********
Location
Ridgeland, MS
Posted Date
May 26, 2022
Info Source
Employer  - Full-Time  90  

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,..

 
Company
Humana Inc.
Location
Ridgeland, MS
Posted Date
Oct 24, 2022
Info Source
Employer  - Full-Time  90  

... 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..

 
Company
**********
Location
Ridgeland, MS
Posted Date
Jan 25, 2022
Info Source
Employer  - Full-Time  90  

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 -..

 
Company
**********
Location
Ridgeland, MS
Posted Date
May 04, 2023
Info Source
Employer  - Full-Time  90  

... 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..

 
Company
**********
Location
Ridgeland, MS
Posted Date
Mar 13, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Associate VP, Clinical Pharmacy (Remote) in Ridgeland Mississippi ... Mississippi Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, ... and medical literature, while providing clinical..

 
Company
**********
Location
Ridgeland, MS
Posted Date
Dec 16, 2022
Info Source
Employer  - Full-Time  90  

... 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..

 
Company
**********
Location
Ridgeland, MS
Posted Date
Dec 05, 2021
Info Source
Employer  - Full-Time  90  

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:..

 
Company
**********
Location
Ridgeland, MS
Posted Date
Dec 11, 2021
Info Source
Employer  - Full-Time  90  

Job Information Humana Lead Product Manager - Healthcare API in Ridgeland ... Mississippi Description The Lead Product Manager - Healthcare API (SME) as ... and accountability in the overall strategy..

 
Company
Humana Inc.
Location
Ridgeland, MS
Posted Date
Apr 13, 2022
Info Source
Employer  - Full-Time  90  

... Information Humana Director, Behavioral Health Strategy in Ridgeland Mississippi Description The ... Develop strategic initiatives for overseeing clinical integrity, especially for utilization and case management activities. This includes developing..

 
Company
**********
Location
Ridgeland, MS
Posted Date
Dec 23, 2022
Info Source
Employer  - Full-Time  90  

... 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..

 
Company
**********
Location
Ridgeland, MS
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

... 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..

 
Company
Humana Inc.
Location
Ridgeland, MS
Posted Date
Jun 01, 2021
Info Source
Employer  - Full-Time  90  

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..

 
Company
**********
Location
Ridgeland, MS
Posted Date
Apr 23, 2022
Info Source
Employer  - Full-Time  90  

... 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..

 
Company
**********
Location
Ridgeland, MS
Posted Date
Feb 07, 2022
Info Source
Employer  - Full-Time  90  

... 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..

 
Company
**********
Location
Ridgeland, MS
Posted Date
Oct 08, 2022
Info Source
Employer  - Full-Time  90  

... team as Associate Vice President, Utilization Management. The associate will play an ... role in proliferating Humana's proprietary utilization management model(s), specific to homecare services, ... homecare services, and..

 
Company
**********
Location
Ridgeland, MS
Posted Date
Apr 22, 2022
Info Source
Employer  - Full-Time  90  

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 -..

 
Company
**********
Location
Ridgeland, MS
Posted Date
Apr 06, 2022
Info Source
Employer  - Full-Time  90  

... 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..

 
Company
**********
Location
Ridgeland, MS
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

... 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..

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