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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 ..
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... Job Information Deloitte C&M - Healthcare - Customer Strategy & Applied ... Chicago Illinois Senior Manager/Specialist Lead, Healthcare Customer Strategy In the current ... needs Strive to improve deliverable..
... Information Deloitte Manager, C&M - Healthcare - Customer Strategy & Applied ... Illinois Manager, Customer Strategy - Healthcare Health Care Focuses on assisting ... needs Strive to improve deliverable..
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 ..
... the global leader in dialysis healthcare, we form bonds that enable ... career development. Superior training, UltraCare® quality control, and certification procedures ensure ... a member of the interdisciplinary..
Description The Care Coach Coordinator 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for ..
Job ID 21000ITNAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
Job ID 21000F7IAvailable Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..
Description Humana's National Medicaid Quality team is seeking a Market ... for supporting individual Medicaid market quality teams and serving as the ... the corporate level National Medicaid Quality team..
Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..
Description The Senior Quality Engineer carries out procedures to ... and end-user requirements. The Senior Quality Engineer work assignments involve moderately ... variable factors. Responsibilities The Senior Quality Engineer performs..
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 ..
Description The Principal Quality Leader will lead testing and ... Leader will lead testing and quality collaboration between Business and IT, ... tools and assure adherence to quality standards. Serves..
Description The Vendor Quality Medical Director will manage clinical ... Director will manage clinical vendor quality outcomes for Humana Clinical Operations ... Director to manage clinical vendor quality outcomes for..
... 41) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... President, Strategy Advancement for our..
ARIS at home is looking for compassionate caregivers to provide great, compassionate care for our clients in the Near West Suburbs of Chicago. Care Duties Include: Companionship Safety Assistance Assist with ..
Job ID 21000I6TAvailable Openings 4Position Specific Information This position is located at the Ross Engelwood Dialysis clinic, 946 W. 63rd St., Chicago, IL 60621 Clinic is open Monday-Sunday, rotating shift/days Prefer ..
Description The Senior Medicaid Quality Data and Reporting Analyst generates ... factors. Responsibilities The Senior Medicaid Quality Data and Reporting Analyst will ... the management and manipulation of quality data..
... the development and implementation of quality improvement interventions and audits and ... years of experience in Accreditation, Quality Management, Compliance, Utilization Management, Behavioral ... degree Advanced degree in a..
... moderate to substantial. Responsibilities The Quality Technology Leader collaborates with business ... to ensure the maturity of quality in the delivery of technology ... experienced with testing principles and..
... Summary: The Fresenius Medical Care Healthcare Recruitment registered nurse (RN) is ... responsible for the delivery of quality patient care through the nursing ... The RN collaborates with other..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
