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Description The Process Improvement Lead analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems of ..
Description Responsibilities The Senior Market/Industry Insights Professional delivers clinical/medical policy insight and information to both internal and external customers for Humana Government Business (HGB). The Senior Market/Industry Insights Professional will draft ..
Description Responsibilities The Senior Clinical Insights Professional delivers clinical policy insight and information to both internal and external customers for Humana Government Business (HGB). The Senior Clinical Insights Professional will draft ..
Shifts in Marietta, Smyrna, Dallas, Canton, Kennesaw, Woodstock About Qualicare Homecare Founded in 2001, Qualicare Homecare provides a variety of high quality, nurse-led home care services to help loved ones of ..
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 ..
Shifts in Marietta, Smyrna, Dallas, Canton, Kennesaw, Woodstock and surrounding areas! About Qualicare Homecare Founded in 2001, Qualicare Homecare provides a variety of high quality, nurse-led home care services to help ..
Description Responsibilities The Associate Director Medical/Financial Risk Evaluation leads a few powerful teams dedicated to reducing waste and abuse in the health care industry and its impacts on Humana. These teams ..
... 41) market leader in integrated healthcare with a clearly defined purpose ... while nurturing a sense of security, enabling people to live life ... we are seeking an experienced..
Description Responsibilities The Associate Director for ACD Audit , at ... ACD Audit , at the director of the Director of Payment Integrity, will create ... optimizing operational processes. The..
About Qualicare Homecare Founded in 2001, Qualicare Homecare provides a variety of high quality, nurse-led home care services to help loved ones of all ages have more great days and ensure ..
***VACCINATED CAREGIVER INCENTIVES AVAILABLE*** About Qualicare Homecare Founded in 2001, Qualicare Homecare provides a variety of high quality, nurse-led home care services to help loved ones of all ages have more ..
... ASSISTANT TITLE OF IMMEDIATE SUPERVISOR: Director of Nursing JOB DESCRIPTION SUMMARY: ... under the supervision of the Director of Nursing, and the administrator, ... care as directed by the..
Shifts in Fulton, Cobb and Cherokee counties About Qualicare Homecare Founded in 2001, Qualicare Homecare provides a variety of high quality, nurse-led home care services to help loved ones of all ..
Description The Director of Product Management for Clinical ... business acumen. Responsibilities As the Director of Product Management for Clinical ... insights Bachelor's degree in Business, Healthcare Administration or other..
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 ..