Quality Improvement Nurse (Work at Home KS, AR, OK, MO, NE, IA) - USA-MO-Springfield

Mon, 04 Sep 2023 00:00:00 CDT

Description The Senior Stars Improvement, Clinical Professional responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Senior S...

Sr. Clinical Strategy Consultant - Work at Home - USA-MO-Springfield

Thu, 17 Nov 2022 00:00:00 CST

Description The Senior Clinical Business Professional assists in the development and stabilization strategy of all Care Management program activities in all existing, new and expansion markets. This ...

Quality Improvement Program Lead (National Medicaid Quality) - USA-MO-Springfield

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in Springfield Missouri Description Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will b...

Quality Improvement Coordinator - USA-MO-Springfield

Sun, 13 Nov 2022 00:00:00 CST

Job Information Humana Quality Improvement Coordinator in Springfield Missouri Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and complia...

Advanced Clinic Dietitian - USA-MO-Springfield

Sat, 19 Nov 2022 00:00:00 CST

Formulary And Medical Strategies Senior Professional - USA-MO-Springfield

Wed, 30 Nov 2022 00:00:00 CST

Description The Senior Professional collaborates with healthcare professionals, pharmacists, and other business functions to implement formulary and medical strategies for the Medicaid line of busine...

Associate VP, Behavioral Health Strategy - USA-MO-Springfield

Fri, 16 Dec 2022 00:00:00 CST

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health a...

AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership - USA-MO-Springfield

Sun, 18 Dec 2022 00:00:00 CST

Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Springfield Missouri Description The Healthcare Quality Reporting & Improvement (HQRI) organization is see...

Associate Vice President, Quality Improvement for Healthy Horizons - USA-MO-Springfield

Sun, 25 Dec 2022 00:00:00 CST

Job Information Humana Associate Vice President, Quality Improvement for Healthy Horizons in Springfield Missouri Description As a company whose primary focus is on the well-being of its members, Huma...

Grievances and Appeals Medical Director - Nationwide - USA-MO-Springfield

Sat, 22 Apr 2023 00:00:00 CDT

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interp...

Health Information Management Professional - USA-MO-Springfield

Mon, 17 Apr 2023 00:00:00 CDT

Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management Professional work assignments are varied and frequently require ...

DRG Validation Coding Auditor - USA-MO-Springfield

Sat, 22 Apr 2023 00:00:00 CDT

Description The DRG Validation Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to pa...

Senior Informaticist - Provider Data Analytics (Remote) - USA-MO-Springfield

Thu, 20 Apr 2023 00:00:00 CDT

Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obta...

Senior Corporate Strategy Analyst - USA-MO-Springfield

Thu, 20 Apr 2023 00:00:00 CDT

Job Information Humana Senior Corporate Strategy Analyst in Springfield Missouri Description Humana's Corporate Stragtegy team is a high-performing organization that works closely with Humana's senior...

Associate VP, Behavioral Strategy - USA-MO-Springfield

Thu, 20 Apr 2023 00:00:00 CDT

Grievances and Appeals Medical Director - Weekends Required - USA-MO-Springfield

Thu, 20 Apr 2023 00:00:00 CDT

AVP, Stars and Risk Adjustment National Medical Director - USA-MO-Springfield

Mon, 01 May 2023 00:00:00 CDT

Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Springfield Missouri Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a tale...

Nurse Auditor Review - USA-MO-Springfield

Thu, 11 May 2023 00:00:00 CDT

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate...

Senior Incentive Design Professional - USA-MO-Springfield

Sat, 13 May 2023 00:00:00 CDT

Description The Senior Compensation Professional develops, implements, and administers compensation programs. The Senior Compensation Professional work assignments involve moderately complex to compl...

Corporate Strategy Consultant - USA-MO-Springfield

Tue, 30 May 2023 00:00:00 CDT

Job Information Humana Corporate Strategy Consultant in Springfield Missouri Description Humana's Corporate Stragtegy team is a high-performing organization that works closely with Humana's senior lea...

HealthcareCrossing Jobs

Quality Improvement Nurse (Work at Home KS, AR, OK, MO, NE, IA) - USA-MO-Springfield

Sr. Clinical Strategy Consultant - Work at Home - USA-MO-Springfield

Quality Improvement Program Lead (National Medicaid Quality) - USA-MO-Springfield

Quality Improvement Coordinator - USA-MO-Springfield

Advanced Clinic Dietitian - USA-MO-Springfield

Formulary And Medical Strategies Senior Professional - USA-MO-Springfield

Associate VP, Behavioral Health Strategy - USA-MO-Springfield

AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership - USA-MO-Springfield

Associate Vice President, Quality Improvement for Healthy Horizons - USA-MO-Springfield

Grievances and Appeals Medical Director - Nationwide - USA-MO-Springfield

Health Information Management Professional - USA-MO-Springfield

DRG Validation Coding Auditor - USA-MO-Springfield

Senior Informaticist - Provider Data Analytics (Remote) - USA-MO-Springfield

Senior Corporate Strategy Analyst - USA-MO-Springfield

Associate VP, Behavioral Strategy - USA-MO-Springfield

Grievances and Appeals Medical Director - Weekends Required - USA-MO-Springfield

AVP, Stars and Risk Adjustment National Medical Director - USA-MO-Springfield

Nurse Auditor Review - USA-MO-Springfield

Senior Incentive Design Professional - USA-MO-Springfield

Corporate Strategy Consultant - USA-MO-Springfield