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Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Title: Medical Director Location: Work..
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... 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..
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 relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The Medical Director provides medical..
... is committed to providing personalized, high-quality primary care combined with an ... in both the treatment and management of most chronic and acute-care ... based care provider focused on..
... is committed to providing personalized, high-quality primary care combined with an ... in both the treatment and management of most chronic and acute-care ... level of medical care and..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Las Vegas ... Vegas Nevada Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... waste,..
Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. ..
... delivery process. The National Medicaid Director of Clinical Strategy and Practice ... community within the enterprise. The Director of Clinical Strategy has direct ... responsibility for establishing the Care..
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 actively uses..
Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations ... Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for..
... 41) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... President, Strategy Advancement for our..
... is committed to providing personalized, high-quality primary care combined with an ... in both the treatment and management of most chronic and acute-care ... managers across the department. The..
Description The Associate Director, Problem, Incident and Event Management drives technical support teams to ... key technology platforms/applications. The Associate Director, Problem, Incident and Event Management requires a solid understanding..
Description The Utilization Management Behavioral Health Professional 2 utilizes ... benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work ... of action. Responsibilities The Utilization Management Behavioral Health..
Description The Director, Strategy Advancement provides data-based strategic ... set on transforming the US healthcare system and making real improvements ... along the way. Responsibilities The Director, Retail Strategy &..
Description Responsibilities The Associate Director for ACD Audit , at ... ACD Audit , at the director of the Director of Payment Integrity, will create ... optimizing operational processes. The..
Description Humana's Enterprise Clinical Management team needs your clinical, business ... acumen to solve for the healthcare challenges of today. The Clinical ... Title : Clinical Trend Medical Director Assignment:..
Description Responsibilities The Utilization Management Nurse 2 will be responsible ... on medical record documentation for quality and clinical compliance with contract ... for this position . 75% Quality Monitoring..
... is responsible for client cost management and satisfaction. The CAM is ... an account or branch for quality assessment and process improvement to ... with the goal of ongoing..
Description The Medical Director actively uses their medical background, ... work. Responsibilities Title: Commercial Medical Director Location: Work At Home - ... weeks. Job Summary The Medical Director's work includes..
