Director Clinical Quality Compliance Jobs

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

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

Job Information Humana Medical Director - Texas in Tulsa Oklahoma ... Tulsa Oklahoma Description The Medical Director relies on medical background and ... reviews health claims. 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..

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..

About this role: As a Clinical Manager with Fresenius Medical Care, ... Care, you will ensure that quality patient care is delivered while ... care is delivered while maintaining clinical..

... Information Humana Behavioral Health Medical Director - Oklahoma Medicaid in Tulsa ... Humana's Oklahoma Medicaid BH Medical Director will oversee our behavioral health ... oversee our behavioral health (BH)..

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 Quality Management Director provides strategic leadership for Humana's ... leadership for Humana's Oklahoma Medicaid Quality Program, in alignment with organizational ... Program, in alignment with organizational quality and..

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

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 Medical Director - S. Florida in Tulsa ... Tulsa Oklahoma Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

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

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

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 ... Tulsa Oklahoma Description The Medical Director relies on medical background and ... requests for services. The Medical Director work..

Job Information Humana Director, Informatics in Tulsa Oklahoma Description ... in Tulsa Oklahoma 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..

Job Information Humana VP, Clinical Operations in Tulsa Oklahoma Description ... in Tulsa Oklahoma 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 Tulsa Oklahoma Description The Director, Technology Solutions devises an effective ... and the core EMR/EHR. The Director, Technology Solutions..

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