Director Healthcare Quality Management Jobs

... make a difference. POSITION Associate Director/Director, WW Medical Affairs Hematology Myeloid ... Affairs Hematology Myeloid SUPERVISOR Senior Director, WW Medical Affairs Hematology Myeloid ... functional teams. Summary/Scope: The Associate..

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 Jersey City ... New Jersey Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... waste,..

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

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

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..

Job Information Humana Associate Director, Health Information Management in Jersey City New Jersey ... New Jersey Description The Associate Director, Health Information Management ensures data integrity and quality for our..

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

... Humana Nationwide Medicaid Behavioral Health Quality Lead in Jersey City New ... Jersey Description The Behavioral Health Quality Lead will report directly to ... directly to the National Medicaid..

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

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

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..

Description The Senior Quality Improvement Professional will focus organizational ... improving South Carolina Medicaid clinical quality performance measures to achieve optimal ... to achieve optimal performance and quality for the..

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

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..

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

... Information Humana Care Team Medical Director in Jersey City New Jersey ... Description The Care Team Medical Director is responsible for improving the ... is responsible for improving the..

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..

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 Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Jersey City New Jersey ... Healthy Horizons is seeking a Quality Improvement Program..

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

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 actively uses..