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Description The Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or ..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..
Job Information Humana Bilingual Quality Auditor in Albany New York Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. ..
... Albany New York Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
Title: Clinical QA Analyst Duration: 12 months Location: ... As a Clinical Quality Assurance (QA) Analyst, you will collaborate with ... our clients through today's ever-changing healthcare landscape. Your day-to-day..
Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in Albany New York Description Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be responsible for the ..
Title: QA Analyst Location: Albany, NY - ... our clients through today's ever-changing healthcare landscape. Your day-to-day role as ... counseling, social work, care management, healthcare compliance, public health, healthcare..
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 ..
Title: Clinical QA Analyst Location: Albany, NY will ... As a Clinical Quality Assurance (QA) Analyst, you will collaborate with ... our clients through today's ever-changing healthcare landscape. Your day-to-day..
Job Information Humana UM Medical Director - Conviva in Albany New York Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
Title: SADC QA Analyst Location: Albany, NY Will ... 12/31/2022 As a Quality Assurance (QA) Analyst, you will collaborate with ... our clients through today's ever-changing healthcare landscape. Your day-to-day..
Contact Agency Health, Department of Title Health Program Director 1 - Item 87926 Occupational Category Other Professional Careers Salary Grade 664 Bargaining Unit M/C - Management / Confidential (Unrepresented) Salary Range ..
Job Information Humana Associate Director, Site Reliability Engineering in Albany New York Description The Associate Director, Site Reliability Engineering maintains, integrates and implements software applications within the organization. The Associate Director, ..
Description The Manager, Software Engineering codes software applications ... based on business requirements. The Manager, Software Engineering works within specific ... schedules and goals. Responsibilities The Manager, Software Engineering standardizes..
... & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US ... & Risk Management Quality Audit (QA) Risk Management Professional 2, you ... for executing the Compliance Oversight..
Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - Remote, US in Albany New York Description Humana Healthy Horizons is seeking a Senior Quality Program Delivery Professional who will manage ..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
Job Description Summary: Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we help people on ..
Job Information Humana Technical Product Manager - Remote in Albany New ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
... Albany New York Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... regional strategies for physician and..
Title: QA Analyst Duration: 12 months Location: ... COVID As a Quality Assurance (QA) Analyst, you will collaborate with ... our clients through today's ever-changing healthcare landscape. Your day-to-day role..
