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Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..
Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new ..
Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. The National Medicaid Director of ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description The Director, Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking and forecasting, supports financial sales analysis and market event news. This position will work and collaborate with ..
Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Springfield Missouri Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..
... Humana Lead Product Manager - Healthcare API in Springfield Missouri Description ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Description The Director, Physician Leadership relies on medical background and reviews health claims. The Director, Physician Leadership requires an in-depth understanding of how organization capabilities interrelate across the function or segment. ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
... that patients aren't navigating the healthcare system alone when they leave ... help elevate the way you practice medicine. And, you'll have more ... an essential function of this..
... in Springfield Missouri Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
... in Springfield Missouri Description The Healthcare Quality Reporting & Improvement (HQRI) ... clinical industry representative. As a leader, this role leads HQRI's Provider ... guidance to ensure physician and..
... Physician nLocation: Marshfield, MOn nMPLT Healthcare is looking for a physician ... benefits of working with MPLT Healthcare include:nn Flexibility - work when, ... access to your personal MPLT..
... our life’s work. This amazing practice is a part of Mercy ... an essential function of this job.,industry:Healthcare,title:Nurse Practitioner III or Physician Assistant ... 0000,siteType:external,uniqueValue:{jobId:891987,refNum:MEHEUS,locale:en_US,siteType:external},internalCategoryId:MEHEUS_Advanced_Practitioner,uniqueKey:MEHEUS891987externalen_US,jobUniqueIdentifier:refNum,jobId,siteType,locale,job board tags:,multi_category:[{internalCategoryId:MEHEUS_Advanced_Practitioner,category_raw:Advanced Practitioner,category:Advanced Practitioner}],reqId:891987,ml_country:United..
nPosition: GastroenterologistnLocation: Springfield, MOn nMPLT Healthcare is looking for physicians who ... benefits of working with MPLT Healthcare include:nn Flexibility - work when, ... access to your personal MPLT Healthcare..
... our life’s work. This amazing practice is a part of Mercy ... an essential function of this job.,industry:Healthcare,title:Nurse Practitioner III - Emergency Medicine ... 0000,siteType:external,uniqueValue:{jobId:901543,refNum:MEHEUS,locale:en_US,siteType:external},internalCategoryId:MEHEUS_Advanced_Practitioner,uniqueKey:MEHEUS901543externalen_US,jobUniqueIdentifier:refNum,jobId,siteType,locale,totalClicks:1,job board tags:,multi_category:[{internalCategoryId:MEHEUS_Advanced_Practitioner,category_raw:Advanced Practitioner,category:Advanced Practitioner}],reqId:901543,ml_country:United..
Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ..
... of services provided by other healthcare professionals in compliance with review ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..
... our life’s work. This amazing practice is a part of Mercy ... site for additional advanced practitioner opportunities.,industry:Healthcare,title:Nurse Practitioner III-Clinic (Exempt),datePosted:2023-03-31T20:03:56.498 0000,@context:http://schema.org,occupationalCategory:Advanced Practitioner},addressId:2141,division:Mercy,field104881:,descriptionTeaser:With ... Oncology,uniqueValue:{jobId:907825,refNum:MEHEUS,locale:en_US,siteType:external},internalCategoryId:MEHEUS_Advanced_Practitioner,uniqueKey:MEHEUS907825externalen_US,jobUniqueIdentifier:refNum,jobId,siteType,locale,job board tags:,multi_category:[{internalCategoryId:MEHEUS_Advanced_Practitioner,category_raw:Advanced Practitioner,category:Advanced Practitioner}],reqId:907825,lastReopenedTrack:[2023-03-31T20:03:56.498Z],ml_country:United..
