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Humana
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Albany, New York
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Become a part of our caring community and help us put health first
The Medical Director ... knowledge in their daily work.
The Medical Director's work includes computer-based review of moderately
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Humana
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Albany, New York
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Identify medical management operational improvements, including those within the medical director area ... line of business. The Medical Director conducts Utilization Management of the care received by members
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Humana
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Albany, New York
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Integration, Long Term Services & Supports services, and Case Management. The Medical Director, as indicated ... Become a part of our caring community and help us put health first
The Medical Director
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Humana
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Albany, New York
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, depending on size of region or line of business. The Medical Director conducts Utilization Management of the ... Become a part of our caring community and help us put health first
The Medical Director
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Humana
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Albany, New York
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line of business. The Medical Director conducts Utilization Management of the care received by members ... Become a part of our caring community and help us put health first
The Medical Director
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Humana
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Albany, New York
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, depending on size of region or line of business. The Medical Director conducts Utilization Management of the ... Become a part of our caring community and help us put health first
The Medical Director
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Humana
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Albany, New York
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, depending on size of region or line of business. The Medical Director conducts Utilization Management of the ... Become a part of our caring community and help us put health first
The Medical Director
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Humana
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Albany, New York
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Become a part of our caring community and help us put health first
The Medical Director ... Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios
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Humana
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Albany, New York
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Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial
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Humana
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Albany, New York
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Become a part of our caring community and help us put health first
The Associate Director ... Insurance Portability and Accountability Act (HIPAA). The Associate Director, Privacy & Ethics requires a
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Humana
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Albany, New York
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/TRICARE/Employer Group product implementation, operations, contract compliance, and federal contract ... health plan and/or specialty companies relative to Medicaid Group product implementation, operations
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Humana
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Albany, New York
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Become a part of our caring community and help us put health first
The Director, Call ... quality issues and performance measures. The Director, Call Quality requires an in-depth understanding of
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Humana
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Albany, New York
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director will oversee the analytics involved in maintaining and expanding care management programs at ... Become a part of our caring community and help us put health first
The director of Clinical
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Humana
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Albany, New York
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Center (CCC) Director will be primarily focused and responsible for the operations of Inbound Medicaid ... leaders and contact center advocates focused on elevating provider and member experience. The Director
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Humana
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Albany, New York
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Become a part of our caring community and help us put health first
The Medical Director ... requests. The Medical Director provides medical interpretation and determinations whether services provided
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Humana
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Albany, New York
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Become a part of our caring community and help us put health first
The Associate Director ... and ensure ongoing compliance with all applicable state and federal guidelines. The Associate Director
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Humana
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Albany, New York
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on high level management of those partners.
Case level management of product builds and platform utilization
Case level management of national account enrollments
Success **reporting and
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Humana
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Albany, New York
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network management in order to provide the best experience for our TRICARE beneficiaries and providers ... responsibility and accountability for the daily administration and management of the TRICARE contract within
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Humana
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Albany, New York
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Experience architecting information management technology solutions inclusive of modern data / cloud ... .
Experience with:
Enterprise data pipeline management and integration technologies and platforms
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Humana
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Albany, New York
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; strong analytical, organizational and time management skills
Working knowledge of Microsoft
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Humana
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Albany, New York
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Management Professional (SVMP) is responsible for day-to-day operations and performance of Humana's vendor ... growth/management, client/member issue resolution, event budget allocation and tracking, and continuous
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Humana
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Albany, New York
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systems
4-year Business Degree
Prior management experience
Progressive leadership
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Humana
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Albany, New York
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, Utilization Management Pharmacy is a clinical pharmacist who leads a team of pharmacists who perform medical necessity reviews for prescriptions requiring pre-authorization. The Supervisor, Utilization Management
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Humana
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Albany, New York
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, and project management skills
Ability to communicate effectively, influence stakeholders, and
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Humana
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Albany, New York
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Become a part of our caring community and help us put health first
Humana Healthy Horizons is
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Humana
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Albany, New York
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Management Team regarding current contracts.
May also prepare simple requests for proposals (RFPs)/request for renewals (RFRs) including full-scale project management, written narratives, and production
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Humana
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Albany, New York
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's largest businesses.
Humana is seeking an experienced team member with meaningful management ... Management Team, and corporate, functional, and business unit leaders.
While deep diving into key
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Humana
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Albany, New York
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Become a part of our caring community and help us put health first
The Lead Product Owner is responsible for conveying product vision and roadmap to an Agile delivery team by defining user stories and
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Humana
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Albany, New York
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accelerate business outcomes driven practice.
Partner with product and engineering teams to develop long-term product strategies and business cases.
Adept at synthesizing a variety of technologies and
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Humana
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Albany, New York
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accountable for the team's valuation product portfolio and will guide the enterprise in proper adoption of ... measure of Humana's Medicare Advantage product offering directly impacts our members' health.
**Use
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