THE LARGEST COLLECTION OF HEALTHCARE JOBS ON EARTH
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... for multiple departments, especially utilization management and care management groups. Leverages clinical experience and ... Qualifications Bachelor's degree in Nursing, Healthcare Management or related field Active R.N. ... regulatory..
Description The Director, Health Services utilizes clinical nursing ... and/or benefit administration determinations. The Director, Health Services requires an in-depth ... segment. Responsibilities The SC Medicaid Director, uses clinical knowledge,..
Description As the Associate Director, IT Project Management, you will use your background ... background and experience in program management to lead and manage a ... our Medicare segment. The..
... 40) market leader in integrated healthcare with a clearly defined purpose ... Responsibilities Key Responsibilities Leverage product management expertise to create simple, personalized ... the moment of need for..
Description The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare, requires and in-depth understanding ..
Job Information Humana Director, Medicaid Strategic Solutions in Lancaster ... the mission of a leading healthcare company committed to improving the ... structured problem solving, and project management rigor. We..
... Information Humana AVP, Stars and Risk Adjustment National Medical Director in Lancaster South Carolina Description ... Lancaster South Carolina Description The Healthcare Quality Reporting & Improvement (HQRI) ... national..
Description Healthcare is rapidly changing, and our ... teams across Humana Responsibilities The Director, Clinical Management Strategy and Implementation, must be ... a primary focus on care management into an..
Description The Director, Medical Coding extracts clinical information ... CPT) to patient records. The Director, Medical Coding requires an in-depth ... function or segment. Responsibilities The Director, Medical Coding ensures..
... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... Lancaster South Carolina Description The Healthcare Quality Reporting & Improvement (HQRI) ... that leads Humana's Stars and..
... Reviews inventory reports and assists management with data tracking to identify ... providers on utilization and medical management processes. Enters and maintains pertinent ... clinical information in various medical..
... with Market Operations and Utilization Management leaders in each Market on ... of strategic objectives. Drive project management, analysis of data, and strategic ... Directors, Provider Representatives, Physicians, Utilization..
... responsibility to operate a quality management infrastructure which promotes member safety, ... Oversee the development, implementation and management of quality improvement projects and ... health Partner with Population Health..
... Qualifications A passion for serving high-risk seniors in achieving their best ... with familiarity of HEDIS/STARS, medical risk adjustment, and clinical programming in ... affect patient care and population..
... 50 market leader in integrated healthcare delivery. As a company whose ... Humana is seeking an accomplished healthcare leader for the position of ... and providers, including plan funding,..
... 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..
Description The Vendor Quality Medical Director will manage clinical vendor quality ... Responsibilities A full time Medical Director to manage clinical vendor quality ... for inpatient and outpatient utilization management..
Description The Hospital Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Hospital Contracting Executive works on problems ..
Description Humana's Enterprise Clinical Management team needs your clinical, business ... acumen to solve for the healthcare challenges of today. The Clinical ... organization is seeking a Medical Director of..
Job Information Humana Director, Behavioral Health Network & Market ... Lancaster South Carolina Description The Director, Behavioral Health (BH) Network and ... model design (full or partial risk, PPPM, upside..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... Vice President, Home Care Product..
