Director Clinical Quality Compliance Jobs in Michigan

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

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..

... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... policy requirements. Ensure provision of quality patient care while maintaining cost-effective ... patient care while maintaining cost-effective..

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..

... and Risk Adjustment National Medical Director in Troy Michigan Description The ... Troy Michigan Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... and 3) contribute as a..

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 VP, Clinical Operations in Troy Michigan Description ... in Troy Michigan Description VP, Clinical Operations and Chief Clinical Officer of Kindred at Home, ... vision of the..

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

... Job Description Summary The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Description The Medical..

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

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 Director, Pharmacy Clinical Formulary and Medical Drug Strategies ... HPS executive leaders, Trade Relations, Clinical, Analytics, Actuaries, and Operation functions ... the formulary strategies. Responsibilities The Director, Pharmacy..

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..

... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Troy ... Troy Michigan Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... The Associate VP for Healthcare..

... serve as the Associate Program Director and Faculty for the Internal ... Livonia, Michigan. The Associate Program Director (APD) role is 0.3 FTE, ... remaining 0.7 FTE will be..

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 ... 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 ... Business's (HGB) Behavioral Health Medical Director will provide..

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 ... Responsibilities Job Profile The Medical Director actively uses..

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

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 Director, Care Delivery and EMR/EHR Technology ... in Kalamazoo Michigan Description The Director, Technology Solutions devises an effective ... and the core EMR/EHR. The Director, Technology Solutions..