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Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Green Bay Wisconsin Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and ..
... Integrity, will create and implement process improvement plans focused on the beneficiary ... design and implementation of the process and experience for the ACD ... Associate Director will oversee..
... of progressive experience leading continuous improvement efforts, evaluating existing systems and ... evaluating existing systems and implementing process improvements. Excellent communication skills with ... As part of our hiring..
Description The Process Improvement Lead analyzes, and measures the ... sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems of ... will lead a team..
Job Information Humana Oncology Market Director in Green Bay Wisconsin Description The Market Director, Oncology leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' prescriptions to ..
... productivity and quality standards. This leader must have the ability to ... Develop plan of action for process improvement. Participate in the promotion of ... the promotion of the..
... cost of care. The Senior Process Improvement Professional analyzes, and measures the ... sustainable, repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work assignments involve moderately..
... and delivering on initiatives and process capabilities that enable improved effectiveness, ... and associate). The Lead defines improvement projects aligned with business strategies ... identify, advise, lead and facilitate..
... Information Humana RN, Senior Stars Improvement, Clinical Professional in Green Bay ... seeking a RN, Senior Stars Improvement, Clinical Professional who will be ... Stars Program. The Senior Stars..
Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... Bay Wisconsin Description The Senior Process Improvement Professional analyzes, and measures the ... sustainable, repeatable and..
... Qualifications 3-5 years of relevant healthcare industry experience (i.e. EDI, provider ... experience with project management/agile methodologies, process improvement or process design and implementation Strong written ... job as..
... the mission of a leading healthcare company committed to improving the ... possess working knowledge of contemporary healthcare technologies and have a proven ... of academic achievement 8 years..
... Responsibilities The Project Manager, Financial Healthcare Advisor manages all aspects of ... to 5 years of technical healthcare experience Exceptional oral and written ... Master's Degree in Business, Finance,..
... Florida is seeking a STARS Improvement Professional 2 who will develop, ... They will direct all quality improvement programs and initiatives. The STARS ... programs and initiatives. The STARS..
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 ..
Job Information Humana Healthcare Services Senior Learning Design Professional-Remote ... variable factors. Responsibilities The HCS (Healthcare Services) Learning and Curriculum Senior ... proficiency testing, and job performance improvement. Provides instruction..
Job Information Humana Associate Director, Health Information Management in Green Bay Wisconsin Description The Associate Director, Health Information Management ensures data integrity and quality for our encounter submissions systems. The Associate ..
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 ..
Job Information Humana Quality Improvement Coordinator in Green Bay Wisconsin ... Bay Wisconsin Description The Quality Improvement Coordinator 3 assists in administering ... in administering and monitoring quality improvement and..
... Humana Associate Vice President, Quality Improvement for Healthy Horizons in Green ... identifying an experienced and influential leader to join our team in ... the role of AVP, Quality..
Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..
... Qualifications 3 plus years of healthcare fraud investigation experience 2 plus ... knowledge and experience Experience in healthcare or in a managed care ... planning and implementation of across-the-board..
