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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 Troy Michigan Description ... in Troy Michigan Description The Associate Director, Compliance Nursing reviews utilization management activities ... fraud, waste, and..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors Responsibilities The Medical Director actively uses..
Job Information Humana Associate Director, Health Information Management in Troy ... in Troy Michigan Description The Associate Director, Health Information Management ensures data ... Management ensures data integrity and quality..
Description The Medical Director's primary responsibility is the review ... level of care. The Medical Director's work assignments involve moderately complex ... of health. Responsibilities The Medical Director actively uses..
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 Behavioral Health Medical Director makes determinations regarding prior authorization ... within a context of regulatory compliance, and work is assisted by ... daily work. Responsibilities The Medical Director..
Job Information Humana Director, Informatics in Troy Michigan Description ... in Troy Michigan Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..
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..
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 relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The Medical Director actively uses..
... and Risk Adjustment National Medical Director in Troy Michigan Description The ... Troy Michigan Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... corporate strategic initiatives. Responsibilities The..
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..
... 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..
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..
... 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 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 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...
Job Information Humana Associate Director, Provider Data Interoperability in Troy ... and efficient business solutions for quality assurance and risk mitigation in ... Provider Medicaid operational business. The Associate Director,..
Job Information Humana Director, Care Delivery and EMR/EHR Technology ... in Troy Michigan Description The Director, Technology Solutions devises an effective ... and the core EMR/EHR. The Director, Technology Solutions..
... Job Description Summary The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Description The Medical..