• Medical Director - Home

    Humana (Honolulu, HI)
    **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether services… more
    Humana (05/03/24)
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  • Behavioral Health Medical

    Humana (Honolulu, HI)
    …our caring community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and ... components, and work is performed without direction. The Behavioral Health Medical Director actively uses...quality management, utilization management, case management, discharge planning and/or home health or post acute services such… more
    Humana (04/09/24)
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  • Medical Director - Southeast Region

    Humana (Honolulu, HI)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... quality management, utilization management, case management, discharge planning and/or home health or post-acute services (such as...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
    Humana (05/10/24)
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  • Medical Director - North Central…

    Humana (Honolulu, HI)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. ... focusing on quality management, utilization management, discharge planning and/or home health or rehab. + Strategic thinking...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
    Humana (04/25/24)
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  • Medical Director - Florida

    Humana (Honolulu, HI)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. ... quality management, utilization management, case management, discharge planning and/or home health or post acute services such...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
    Humana (05/04/24)
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  • Medicare Grievances and Appeals Corporate…

    Humana (Honolulu, HI)
    **Become a part of our caring community and help us put health first** The Corporate Medical 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. The… more
    Humana (05/02/24)
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  • Medical Director - Mid West Region

    Humana (Honolulu, HI)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... quality management, utilization management, case management, discharge planning and/or home health or post acute services such...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
    Humana (04/12/24)
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  • Group Product Director , GU Thought Leader…

    J&J Family of Companies (Honolulu, HI)
    Group Product Director , GU Thought Leader Engagement, Medical Oncology - 2406186853W **Description** Johnson & Johnson is recruiting for Group Product ... Director , GU Thought Leader Engagement, Medical Oncology....based position with significant travel to customers and the home office in Horsham, PA. This is a field-based… more
    J&J Family of Companies (05/08/24)
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  • Perioperative Supply Chain Director

    Intermountain Health (Honolulu, HI)
    …we encourage health for you and your family. Our generous package includes medical , dental, and vision coverage. But health is more than a well-working body: ... and forests, all within hours of where you'll call home . Becoming a part of the Intermountain team means...are paid out based on attainment of selected Intermountain Health Board-approved goals. As the Director of… more
    Intermountain Health (05/12/24)
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  • Director , Clinical Service Line…

    Hawaii Pacific Health (Honolulu, HI)
    …work environment and share our commitment to delivering the highest quality health care to Hawai'i's people. **Location:** Kapiolani Medical Center for ... **Job Description** Kapi'olani Medical Center for Women & Children is Hawai'i's...in area of specialty. Clinical management experience as a director . EOE/AA/Disabled/Vets Hawai'i Pacific Health offers a… more
    Hawaii Pacific Health (04/17/24)
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  • Director , Business Development…

    Cardinal Health (Honolulu, HI)
    …Cardinal Health Insights and Engagement, a division of Cardinal Health Specialty Solutions, delivers comprehensive consulting, medical marketing and ... Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
    Cardinal Health (04/11/24)
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  • Director , Actuarial Services

    Evolent Health (Honolulu, HI)
    **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...as we solve complex business problems. **Collaboration Opportunities:** The Director , Actuarial utilizes and develops analytical tools to solve… more
    Evolent Health (05/11/24)
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  • National Director , Clinical Pharmacy-…

    CenterWell (Honolulu, HI)
    …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** The National Director , Clinical Pharmacy...Medical Officer. This role reports to the National Director , High Risk Patient Management. Responsibilities will include: +… more
    CenterWell (04/28/24)
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  • Associate Director - Network Adequacy

    Humana (Honolulu, HI)
    **Become a part of our caring community and help us put health first** The Associate Director , Network Adequacy tests the overall network in each county of ... is strong enough to support serving customers. The Associate Director , Network Adequacy generates ad hoc reports and regular...offers a variety of benefits to promote the best health and well-being of our employees and their families.… more
    Humana (04/24/24)
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  • Associate Director , IT Portfolio…

    Humana (Honolulu, HI)
    **Become a part of our caring community and help us put health first** Humana is seeking an Associate Director , IT Portfolio Management to join our Fortune #40, ... difference as we help our members achieve their best health ! The Associate Director , IT Portfolio Management...the right place for you at Humana. **Work at Home Guidance** To ensure Home or Hybrid… more
    Humana (05/10/24)
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  • Associate Director - Business Systems…

    Humana (Honolulu, HI)
    **Become a part of our caring community and help us put health first** The Associate Director , Business Systems Analysis performs analysis of business, process ... analysis and translation into proper system requirement specifications. The Associate Director , Business Systems Analysis requires a solid understanding of how… more
    Humana (05/08/24)
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  • National Director , Transitional Care…

    CenterWell (Honolulu, HI)
    …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** **National** ** Director of Transitional Care...appropriateness of care across settings (ie, inpatient, ambulatory, and home ). **Use your skills to make an impact** **Required… more
    CenterWell (05/03/24)
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  • Director , Associate Benefits

    Humana (Honolulu, HI)
    **Become a part of our caring community and help us put health first** The Director , Associate Benefits applies forward-looking, innovative thought to design, ... make the company, and each of its divisions, an employer-of-choice. The Director , Associate Benefits: **Well-being and Benefits ("WB&B") Finance** + Finalize and… more
    Humana (05/03/24)
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  • Associate Director , Data Governance

    Humana (Honolulu, HI)
    **Become a part of our caring community and help us put health first** ESS Business Intelligence is an Enterprise Shared Services (ESS) team focused on data, ... reduce administrative cost and improve the customer's experience. The **Associate Director , Data Governance** supports all aspects of configuration control, data… more
    Humana (05/10/24)
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  • Associate Director - Salesforce

    Humana (Honolulu, HI)
    **Become a part of our caring community and help us put health first** As the Associate Director , Salesforce Technology, you will be at the forefront of devising ... transforming Primary Care through technology and innovation. The Associate Director , Technology Solutions acts as a liaison and collaborates...time that is best for your schedule. To ensure Home or Hybrid Home /Office employees' ability to… more
    Humana (05/03/24)
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