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... in the role of Associate Director – Clinical Services. If you ... continuing to enhance the clinical operations dimension of our counseling center, ... of mental health professionals. Associate..
... in the role of Associate Director, Community Engagement and Operations. If this is you, please ... the back-up administrator to the Director. In the role of Associate ... In..
... overseeing the vendor's claims processing operations and systems. The Director, Claims Oversight plays a vital ... comprised of four units: claims operations, claims systems change management, claims ... Medical..
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Description The Director, Process Improvement analyzes, and measures ... quantifiable business process improvements. The Director, Process Improvement requires an in-depth ... function or segment. Responsibilities The Director, Process Improvement researches..
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..
Description The Associate Director, Quality Improvement implements quality improvement ... and annual evaluation. The Associate Director, Quality Improvement requires a solid ... across department(s). Responsibilities The Associate Director, Quality Improvement..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Cincinnati Ohio ... Cincinnati Ohio Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for Humana ..
Description Responsibilities Humana's Corporate Strategy team is a small, high-performing organization that works closely with Humana's senior leadership to chart the course for the company's future. Within Strategy Operations, you will ..
Job Information Humana Director Medicaid Provider Services (State of ... in Cincinnati Ohio Description The Director Medicaid Provider Services oversees the ... claims data needed for service operations. Responsible for..
Description The Health Equity Director is responsible for setting direction ... achieve this, the Health Equity Director will work with providers, health ... our membership. The Health Equity Director will..
Description The Director, Provider Reimbursement is responsible for ... the organization to include Network Operations, Provider Administration, Claims, and IT. ... team of associates. Responsibilities The Director, Provider Reimbursement develops..
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 The Director, Quality Improvement implements quality improvement ... plan, and annual evaluation. The Director, Quality Improvement requires an in-depth ... interrelate across departments. Responsibilities The Director, Quality Improvement provides..
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. ..
Description The Associate Director, Care Management leads teams of ... for care management. The Associate Director, Care Management requires a solid ... across department(s). Responsibilities The Associate Director leads and..
... grow, the National Medicaid Clinical Operations team is expanding our shared ... delivery process. The National Medicaid Director of Clinical Strategy and Practice ... community within the enterprise. The..
... Humana is a Fortune 60 healthcare company with a history of ... top place to work in healthcare, especially in areas of Diversity ... a personalized, seamless and easy..
Description The Director of Product Management for Clinical ... business acumen. Responsibilities As the Director of Product Management for Clinical ... and services. Partners closely with operations, vendors, customer success..
Description The Director, Population Health Strategy is responsible for improving the quality of care and outcomes while managing costs for a defined group of people. The Director, Population Health Strategy requires ..
Description The Associate Director, Utilization Management Nursing utilizes clinical ... benefit administration determinations. The Associate Director, Utilization Management Nursing requires a ... grow, the National Medicaid Clinical Operations team is..
Description The Sr. Consumer Experience Professional performs data analysis supporting learning plans via management and usage of consumer behavioral, demographic, and attitudinal data. The Sr. Consumer Experience Professional work assignments involve ..
