Director Clinical Quality Compliance Jobs

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

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

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

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 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 UM Medical Director - Conviva in Salem Oregon ... Salem Oregon Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director..

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 Medical Director - Medicare Pharmacy Appeals in ... Salem Oregon Description The Medical Director relies on clinical background and reviews Medicare drug ... Medicare drug requests. The..

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

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

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 ... variable factors. Responsibilities The Medical Director provides medical..

Job Information Humana VP, Clinical Operations in Salem Oregon Description ... in Salem Oregon Description VP, Clinical Operations and Chief Clinical Officer of Kindred at Home, ... vision of the..

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'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..

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

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 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 - National Medicare Team in ... Salem Oregon Description The Medical Director relies on medical background and ... requests for services. The Medical Director work..

Job Information Humana Medical Director - Texas in Salem Oregon ... Salem Oregon Description The Medical Director actively uses their medical background, ... within a context of regulatory compliance, and..

Job Information Humana Director, Care Delivery and EMR/EHR Technology ... in Salem Oregon 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 actively uses their medical background, ... within a context of regulatory compliance, and work is assisted by ... resources, which may include national clinical guidelines, CMS..