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Description Reports directly to the Vice President, Medical Management Operations and serves as a member of the HGB Executive Committee. Leads functions related to HGB's Care Management programs to include predictive ..
Description The Associate Director, Network Engineering designs, analyzes, plans ... customer communication implementation activities. The Associate Director, Network Engineering requires a solid ... capabilities interrelate across department(s). Responsibilities Associate Director..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Charlotte North Carolina ... Charlotte North Carolina Description The Associate Director, Compliance Nursing reviews utilization management activities ... fraud, waste, and..
Job Information Humana Associate Director, Health Information Management in Charlotte ... Charlotte North Carolina Description The Associate Director, Health Information Management ensures data ... Management ensures data integrity and quality..
Job Information Humana Associate Director, Provider Data Interoperability in Charlotte ... and efficient business solutions for quality assurance and risk mitigation in ... Provider Medicaid operational business. The Associate Director,..
... associates Lead GMS Risk & Compliance so that the objectives established ... material new processes or initiatives i.e. Rating Platform Migration, Project Evidence ... potential risk issues Accountability The..
Description Responsibilities The Associate Director for ACD Audit , at ... ACD Audit , at the director of the Director of Payment Integrity, will create ... as optimizing operational processes...
Description The Associate Director or Cloud Platforms leads the ... company's business needs. Responsibilities The Associate Director of Cloud Platforms performs technical ... scalability of cloud-based infrastructure. Ensure compliance with..
Description The Director, Health Services utilizes clinical nursing ... and/or benefit administration determinations. The Director, Health Services requires an in-depth ... segment. Responsibilities The SC Medicaid Director, uses clinical knowledge,..
Description The Behavioral Health Medical Director responsible for behavioral health care ... operations. The Behavioral Health Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director..
Description The Medical Director actively uses their medical background, ... within a context of regulatory compliance, and work is assisted by ... daily work. Responsibilities The Medical Director's work includes..
... building, developing, and leading the quality assurance team along with all ... industry regulations and internal Ovation compliance requirements. Individual and their team ... development opportunities, via Contact Center’s..
Job Information Humana Director, Informatics in Charlotte North Carolina ... Charlotte North Carolina Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..
Job SummaryAssists in leading meetings and special events. Position assists in the development and implementation of departmental strategies and ensures implementation of the brand service strategy and brand initiatives. The position ..
Job Information Humana Director, Care Delivery and EMR/EHR Technology ... Charlotte North Carolina Description The Director, Technology Solutions devises an effective ... and the core EMR/EHR. The Director, Technology Solutions..
... and Risk Adjustment National Medical Director in Charlotte North Carolina Description ... North Carolina Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... corporate strategic initiatives. Responsibilities The..
Description The Associate Director will lead the Application Modernization ... deliver on end-to-end execution. The Associate Director requires a solid understanding of ... software engineering delivery experience. The Associate Director..
... and emerging external medical stakeholders, i.e., payers, patient advocacy groups etc., ... field medical value metrics , quality assurance controls, and operational assessment/analysis ... Affiliate MA Head or Senior..
... technology transformation that will improve quality, timeliness and the overall experience ... As the Resolution Team Operations Director, you will be accountable for ... Responsibilities In this role, the..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director will provide..
Description The Associate Director, DevSecOps Engineering Enables the automation ... between development and production. The Associate Director, DevOps Engineering requires a solid ... development team Reports to the Director of..
... experience and vitality of the associate community. Through offerings anchored in ... professional for the role of Director, Internal Audit. In this role, ... not have responsibility for Sarbanes-Oxley..