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Description The Director, Group Market Operations partners with the assigned Group Market Presidents on cost of care and profitable growth management, risk management and operations. The Market Operations Director requires an ..
... CP Program and all other Clinical Quality Management (CQM) Programs, as ... agreement, information from the Contracting Officer, other).nCollaborates with Clinical Directors/Department Heads to identify, collect, ... practice evaluation..
... will work closely with the clinical education and market implementation teams ... also need to incorporate EMR, compliance, primary care policy and procedure, ... Subject Matter Expert (SME) on..
... and value, while also managing compliance with network requirements, including network ... alignment to financial, operational and clinical goals Participate and contribute to ... proactively identify network issues, ensure..
... 2 Medical Directors who conduct clinical case reviews of the care ... Medical Director for the Humana Clinical Operations Behavioral Division is looking ... by other healthcare professionals in..
Job Information Humana VP, Clinical Operations in Overland Park Kansas ... Overland Park Kansas Description VP, Clinical Operations and Chief Clinical Officer of Kindred at Home, you ... vision of..
... LTSS (long-term services and supports) clinical officer / medical director to join ... KanCare, as well as all clinical activities pertaining to the operation ... efforts. Be responsible for..
... will work closely with the clinical education and market implementation teams ... also need to incorporate EMR, compliance, primary care policy and procedure, ... Work collaboratively with implementation teams,..
... team. This position reviews the clinical appropriateness of prior authorization (PA) ... reviews for requested services using clinical judgement and works with the ... works with the Chief Medical..