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Description The Director, Market Leadership manages the development, ... of a health plan. The Director, Market Leadership requires an in-depth ... function or segment. Responsibilities The Director, Market Leadership (COO)..
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... contract is responsible for processing claims for more than 6 million ... than 6 million members, the claims processing and financial management functions ... to an external vendor. The..
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 AVP, Business Technology Solutions Implementation will oversees various system programs of a highly complex nature to deliver new technological solutions to meet business needs within a specified scope while ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Cincinnati Ohio ... Cincinnati Ohio Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
Job Information Humana Director Medicaid Provider Services (State of ... in Cincinnati Ohio Description The Director Medicaid Provider Services oversees the ... management and gathering of provider claims data needed..
Description The Director, Quality Improvement implements quality improvement ... plan, and annual evaluation. The Director, Quality Improvement requires an in-depth ... interrelate across departments. Responsibilities The Director, Quality Improvement provides..
