Director Clinical Quality Compliance Jobs in Hawaii

Description The Director, Strategy Advancement provides data-based strategic ... along the way. Responsibilities The Director, Retail Strategy & Product Advancement ... corporate vision, as well as compliance and regulatory expectations..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Honolulu Hawaii Description ... Honolulu Hawaii Description The Associate Director, Compliance Nursing reviews utilization management activities ... waste, and abuse. The..

Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Coast hours Responsibilities The Medical Director actively uses..

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 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 relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The Medical Director provides medical..

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

Job Information Humana Medical Director - Medicare Pharmacy Appeals in ... Honolulu Hawaii Description The Medical Director relies on clinical background and reviews Medicare drug ... Medicare drug requests. The..

Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... within a context of regulatory compliance, and work is assisted by ... resources which may include national clinical..

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, ... within a context of regulatory compliance, and work is assisted by ... resources, which may include national clinical guidelines, CMS..

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 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..

Job Information Humana Medical Director - National Medicare Team in ... Honolulu Hawaii Description The Medical Director relies on medical background and ... requests for services. The Medical Director work..

Description The Medical Director actively uses their medical background, ... within a context of regulatory compliance, and work is assisted by ... resources, which may include national clinical guidelines, CMS..

Job Information Humana Medical Director - Texas in Honolulu Hawaii ... Honolulu Hawaii Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

Job Information Humana Medical Director - S. Florida in Honolulu ... Honolulu Hawaii Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

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

Description The Medical Director actively uses their medical background, ... within a context of regulatory compliance, and work is assisted by ... resources, which may include national clinical guidelines, CMS..

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 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..

Job Information Humana Medical Director - Florida Medicaid in Honolulu ... Honolulu Hawaii Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

Job Information Humana UM Medical Director - Conviva in Honolulu Hawaii ... Honolulu Hawaii Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director..