Clinical Quality Systems Director Jobs in Portland

Description The Associate Director of Quality, Performance, & Digital Experience devises ... for executing and delivering software quality initiatives with an emphasis on ... on user experience. The Associate Director..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Vancouver Washington ... Vancouver Washington Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..

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..

Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... resources which may include national clinical guidelines, Humana contract language, Humana ... and determinations, medical necessity criteria, clinical..

... Information Humana Care Team Medical Director in Vancouver Washington Description The ... Description The Care Team Medical Director is responsible for improving the ... is responsible for improving the..

Description The Medical Director actively uses their medical background, ... resources, which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations, clinical reference materials,..

Description The Medical Director actively uses their medical background, ... resources, which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations, clinical reference materials,..

Description The Medical Director actively uses their medical background, ... resources, which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations, clinical reference materials,..

Description The Medical Director actively uses their medical background, ... resources which may include national clinical guidelines, Humana contract language, Humana ... coverage policies and determinations, MCG, clinical reference materials,..

Job Information Centerwell RN Clinical Manager in Lake Oswego Oregon ... in Lake Oswego Oregon The Clinical Manager coordinates and oversees all ... care patient services provided by clinical personnel...

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 Director, Pharmacy Clinical Trend and Pipeline in Vancouver ... team that helps translate the clinical into financial to ensure Humana ... external vendors and providers. The Director,..

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 provides medical..

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..

... to join our team as Director of Strategy for our Healthcare ... of Strategy for our Healthcare Quality Reporting and Improvement (HQRI) organization. ... teams: Risk Adjustment and Health..

Job Information Humana Director, Care Delivery and EMR/EHR Technology ... in Portland Oregon Description The Director, Technology Solutions devises an effective ... and the core EMR/EHR. The Director, Technology Solutions..

Description The Director, Problem, Incident and Event Management ... to key technology platforms/applications. The Director, Problem, Incident and Event Management ... and scope across Humana Pharmacy, Clinical Operations, and ECOM...

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..

Description The Medical Director actively uses their medical background, ... resources, which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations, clinical reference materials,..

Job Information Humana Director, Informatics in Vancouver Washington Description ... in Vancouver Washington Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..

Job Information Humana Director, Care Delivery and EMR/EHR Technology ... in Vancouver Washington Description The Director, Technology Solutions devises an effective ... and the core EMR/EHR. The Director, Technology Solutions..

Description The Medical Director's primary responsibility is the review ... level of care. The Medical Director's work assignments involve moderately complex ... variable factors that rely on clinical experience 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 provides medical..