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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 ..
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 ..
... Quality Improvement Director, Quality Improvement Manager and pharmacy leaders to promote ... Pharmacist, Registered Nurse, other licensed healthcare professional 3 years of experience ... years of experience working on..
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..
Job Information Centerwell RN Clinical Manager in Avon Indiana The Clinical ... in Avon Indiana The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the QA/PI..
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). ..
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 ..
... a strong rapport with the healthcare consumer, host and community. Represent ... relationship with collaborating physicians, other healthcare providers, educational institutions and professional ... technicians to provide high-quality, convenient..
Description The Associate Director, Quality Assurance for Humana/Your Home Advantage (YHA) develops and implements programs to establish and maintain quality standards of existing products and services pertaining to In Home Wellness ..
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 ..
Job Information Humana Bilingual Quality Auditor in Indianapolis Indiana Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..
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, Quality Improvement implements quality improvement ... Diagnosis and Testing (EPSDT). The Manager, Quality Improvement works within specific ... schedules and goals. Responsibilities The Manager, Quality Improvement is..
Job Information Humana Technical Product Manager - Remote in Indianapolis Indiana ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
... & 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..
Description The Senior Quality Improvement Professional will focus organizational efforts on improving behavioral health (BH)/Substance Use Disorder (SUD) clinical quality performance measures to achieve optimal performance and quality for the Humana ..
Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - Remote, US in Indianapolis Indiana Description Humana Healthy Horizons is seeking a Senior Quality Program Delivery Professional who will manage and ..
Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in Indianapolis Indiana Description Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be responsible for the end ..
Job Information Centerwell RN Clinical Manager Home Health Full Time in ... in Avon Indiana The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the QA/PI..
... like this one Title Clinical Manager (325) About the Organization The ... billing, collaborative effort with business manager. Skill in applying and modifying, ... opportunities. Collaborates with business office..
