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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..
... 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..
... plans for the scope of management that are aligned with the ... with the Segment or Business strategy. Required Qualifications *5 or more ... *5 or more years of..
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 Clinical Strategy Manager - Utilization Management in Vancouver Washington Description The ... in Vancouver Washington Description The Clinical Strategy & Analytics team is a ... value to..
Job Information Humana Associate VP, Clinical Pharmacy (Remote) in Vancouver Washington ... Washington Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, ... and medical literature, while providing clinical..
**Providence is calling a Clinical Case Manager (LCSW) - Utilization Review Quality Management (1.0 FTE, Day) to Providence ... system.** We are seeking a Clinical Case Manager (LCSW) - Utilization..
Job Information Humana Lead Product Manager - Healthcare API in Vancouver ... Washington Description The Lead Product Manager - Healthcare API (SME) as ... and accountability in the overall strategy..
... 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..
... 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 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 ... leading teams focusing on quality management, utilization management, discharge planning and/or home health ... Preferred Qualifications Experience..
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..
... 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 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 -..
... 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..
Description Responsibilities Senior Care Manager, Behavioral Health (BCBA) This is ... non-exempt position with responsibility for utilization management and clinical decision-making as outlined in the ... 4. This associate will..
... Information Humana Director, Behavioral Health Strategy in Vancouver Washington Description The ... Develop strategic initiatives for overseeing clinical integrity, especially for utilization and case management activities. This includes developing..
