- Humana (Jackson, MS)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Humana (Jackson, MS)
- **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. The Corporate Medical Director works on problems of diverse...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Possess analysis… more
- Humana (Jackson, MS)
- …of our caring community and help us put health first** The Associate Director , Network Performance is a Healthcare operations leader with deep expertise in quality ... a team of associates, ensuring alignment, consistency, and strong execution. The Associate Director , Network Performance serves as expert to a team on CMS Stars… more
- Humana (Jackson, MS)
- **Become a part of our caring community and help us put health first** Director Enterprise Data Quality and Stewardship The Data Governance Director will be the ... quality, integrity, privacy, availability, security and usability and adherence to corporate policies, enterprise standards and procedures. This role will work to… more
- Humana (Jackson, MS)
- …segment's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement Professional, you ... subject matter experts, members of Humana's executive Management Team, and corporate , functional, and business unit leaders. Recent example projects include… more
- Humana (Jackson, MS)
- …first** The Clinical Pharmacist Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes ... diverse scope and complexity ranging from moderate to substantial. The Pharmacy Director , internally known as a Clinical Pharmacy Lead, plans, directs, and monitors… more
- Molina Healthcare (Gulfport, MS)
- …Tighter knit proximity ongoing after contract. * In conjunction with Director /Manager, Provider Contracts, negotiates Complex Provider contracts including but not ... and/or language. Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract… more