Clinical Strategy Manager Utilization Management Jobs in Virginia

... professional relationships with customers in clinical practice, pharmacy department, pharmacy and ... sales representative or prior account management experience working with health systems, ... business in assigned territory. Strong..

... 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..

... 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 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..

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:..

... 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 Glen Allen ... Virginia 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..

... responsibilities. Oversees the Carilion Clinic Utilization Management (UM) daily and long term ... payor rules and regulations regarding utilization management policy and procedures. Provides internal ... UM team focusing..

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 -..

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 -..

Description The Clinical Pharmacy Lead monitors drug development ... and medical literature, while providing clinical support for internal stakeholders. Utilizes ... and improve health outcomes. The Clinical Pharmacy Lead works..

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, Humana contract language, Humana ... and determinations, medical necessity criteria, clinical reference materials, internal teaching conferences, ... standards. Begins to influence department's..

... 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..

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,..

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

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

... 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..

Job Information Humana Clinical Strategy Manager - Utilization Management in Glen Allen Virginia Description ... Glen Allen Virginia Description The Clinical Strategy & Analytics team is a ... value to..

... 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..

... Make the most of your management talents at Carilion Clinic, an ... The Director assures that the Clinical Effectiveness corporate functions are carried ... committees. Oversees and directs, with..

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,..