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... policies and procedures. *Participate in Quality Operations including chair Quality Management Committee, complete initial peer ... complete initial peer review on quality of care complaints, complete peer-to-peer ... budget..
Description Humana is a Fortune 60 healthcare company with a history of successful innovation and reinvention, with over 50 years as a proven leader and innovator in the health and wellness ..
Description The Chief Medical Officer, Group Medicare relies on the ... for inpatient cases. Participate in Quality Operations including Quality Management Committee, monitor initial peer ... monitor initial peer review..
... Information Humana Associate Vice President, Quality Improvement for Healthy Horizons in ... in the role of AVP, Quality Improvement for Healthy Horizons. Decisions ... report to the Vice-President and..
... innovative approaches for improving the quality, efficiency, and appropriateness of care ... the clinical lead for all quality, clinical, survey and certification, and ... approach to measuring and promoting..
... everything we do. The Divisional Chief Medical Officer (CMO) is an entrepreneurial & ... CMO will report to the Chief Medical Officer of the Primary Care Organization. ... experience..
Job Information Humana AVP, Systems Engineering in Lancaster South Carolina Description Humana's Associate Technology Experience team delivers enterprise technology products and services that amplify the power of human connection across Humana's ..
Job Information Humana Lead Scrum Master (Remote) in Lancaster South Carolina Description The Lead Scrum Master coordinates an agile development team, ensures all activities use the principles of the Scrum and ..
Description In the fast-paced, ever-growing world of Healthcare, Humana relies on the latest technology and trends for sharing and storing information, communication and security. We need experts in technology to help ..
... train primary care providers in quality-based, senior-focused medicine for existing and ... and procedure, coding and documentation, quality, utilization, customer service standards, team ... guidance to ensure that the..
Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..
Description The Associate VP, Technology Solutions devises an effective strategy for executing and delivering on IT business initiatives. The Associate VP, Technology Solutions requires a in-depth understanding of how organization capabilities ..
Description The Network Optimization Lead oversees various efforts involving highly complex data analysis and consultation projects/contracts. The Network Optimization Lead works on problems of diverse scope and complexity ranging from moderate ..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being ..
... Description VP, Clinical Operations and Chief Clinical Officer of Kindred at Home, you ... the VP, Clinical Operations and Chief Clinical Officer of Kindred at Home, you ... care..
Description Responsibilities Humana's Marketing Organization is seeking an Associate Communications Lead to join the Corporate Communications team working remote anywhere in the U.S. The Associate Communications Lead is responsible for developing ..
... Healthy Horizons have access to quality care for their behavioral health ... report to Vice President and Chief Medical Officer but will work in close ... as a key..
Job Information Humana Director, Data Analytics and Digital Technologies in Lancaster South Carolina Description Kindred at Home is wholly owned by Humana Insurance Corporation, and will complete their integration into Humana ..
... wellness. Job Profile Summary The Chief Clinical Excellence Officer will be the national clinical ... of health. Job Description The Chief Clinical Excellence Officer will lead the development of..
Description Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that all ..
