Director Clinical Quality Compliance Jobs in Missouri

Job Information Humana Medicaid Associate Director, Compliance Nursing in Springfield Missouri Description ... Springfield Missouri 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..

... is committed to providing personalized, high-quality primary care combined with an ... Responsibilities As a Regional Medical Director you will plan, organize, manage ... in pursuit of cost effective,..

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..

... will work closely with the clinical education and market implementation teams ... train primary care providers in quality-based, senior-focused medicine for existing and ... also need to incorporate EMR,..

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

... 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..

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

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..

Job Information Humana VP, Clinical Operations in Springfield Missouri Description ... in Springfield Missouri 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 ... Kansas City Missouri 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..

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..

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

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, Informatics in Springfield Missouri Description ... in Springfield Missouri Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..

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 Director, Physician Leadership relies on medical ... and reviews health claims. The Director, Physician Leadership requires an in-depth ... function or segment. Responsibilities The Director, Physician Leadership provides..

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