Director Healthcare Quality Management Jobs

... the claims processing and financial management functions are outsourced to an ... processing operations and systems. The Director, Claims Oversight plays a vital ... claims operations, claims systems change..

Description Humana's National Medicaid Quality team is seeking a Market ... for supporting individual Medicaid market quality teams and serving as the ... the corporate level National Medicaid Quality team..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Colorado Springs ... Springs Colorado Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... waste,..

... Information Humana Care Team Medical Director in Colorado Springs Colorado Description ... Description The Care Team Medical Director is responsible for improving the ... is responsible for improving the..

Job Information Humana Medical Director - National Medicare Team in ... Springs Colorado Description The Medical Director relies on medical background and ... requests for services. The Medical Director work..

Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director will provide..

Description The Medical Director actively uses their medical background, ... daily work. Responsibilities The Medical Director's work includes computer-based review of ... and possible participation in care management. The clinical..

Description The Medical Director's primary responsibility is the review ... level of care. The Medical Director's work assignments involve moderately complex ... of health. Responsibilities The Medical Director actively uses..

Job Information Humana Medical Director - Medicare Pharmacy Appeals in ... Springs Colorado Description The Medical Director relies on clinical background and ... Medicare drug requests. The Medical director work..

Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... daily work. Responsibilities The Medical Director provides medical interpretation and decisions ... of services provided by other healthcare..

Job Information Humana Associate Director, Health Information Management in Colorado Springs Colorado Description ... Springs Colorado Description The Associate Director, Health Information Management ensures data integrity and quality for our..

Description The Behavioral Health Medical Director responsible for behavioral health care ... operations. The Behavioral Health Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director..

... and Risk Adjustment National Medical Director in Colorado Springs Colorado Description ... Colorado Springs Colorado Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... guidance to ensure physician..

Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Colorado Springs Colorado Description ... Healthy Horizons is seeking a Quality Improvement Program..

Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The Medical Director actively uses..

Description The Medical Director actively uses their medical background, ... daily work. Responsibilities The Medical Director's work includes computer-based review of ... and possible participation in care management. The clinical..

Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The Medical Director provides medical..

Job Information Humana Medical Director - S. Florida in Colorado ... Springs Colorado Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

... Humana Nationwide Medicaid Behavioral Health Quality Lead in Colorado Springs Colorado ... Colorado Description The Behavioral Health Quality Lead will report directly to ... directly to the National Medicaid..

Job Information Genesis Healthcare Marketing and Admissions Director in Colorado Springs Colorado Genesis ... in Colorado Springs Colorado Genesis HealthCare is the nation's leading provider ... the nation's leading provider..

Job Information Humana Medical Director - Texas in Colorado Springs ... Springs Colorado Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

Job Information Humana Medical Director - Florida Medicaid in Colorado ... Springs Colorado Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

Job Information Humana UM Medical Director - Conviva in Colorado Springs ... Springs Colorado Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director..