Director Clinical Quality Compliance Jobs

Description The Director of Health Services for National ... Health Services for National Medicaid Clinical Operations utilizes clinical skills to support the coordination, ... and/or benefit administration determinations. The Director,..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Washington District Of ... Of Columbia 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..

Job Information Humana Medical Director - Texas in Washington District ... Of Columbia Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

Job Information Humana UM Medical Director - Conviva in Washington District ... Of Columbia Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director..

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

Job Information Humana Associate VP, Quality Improvement in Washington District Of ... Of Columbia Description The AVP, Quality Improvement and Performance will develop, ... and maintain performance under HGB's Clinical..

Job Information Humana Director, Informatics in Washington District Of ... District Of Columbia Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..

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

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

Job Information Humana Medical Director of Long Term Care, Florida ... The Long Term Care Medical Director supports the Long Term Care ... contractual requirement. Responsibilities The Medical Director provides..

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..

... Humana Associate VP, Health Plan Quality Improvement and Performance in Washington ... towards value-based relationships and/or improved quality metrics. The Associate VP, requires ... and/or enterprise-wide. Responsibilities The AVP,..

Job Information Humana Director, Care Delivery and EMR/EHR Technology ... District Of Columbia Description The Director, Technology Solutions devises an effective ... and the core EMR/EHR. The Director, Technology Solutions..

... and Risk Adjustment National Medical Director in Washington District Of Columbia ... Of Columbia Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... and 3) contribute as a..

Director - Ambulatory Transformation (EVERGREEN)','2300016R','!*!The Director of Ambulatory Transformation (AT) reports ... reports directly to the Executive Director, Ambulatory Services, CNH and collaborates ... roadmap of Ambulatory Transformation. The Director..

... 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..

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

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

Job Information Humana VP, Clinical Operations in Washington District Of ... District Of Columbia Description VP, Clinical Operations and Chief Clinical Officer of Kindred at Home, ... vision of the..

... Certified Pediatric Dental Residency Program Director. He/she will be responsible for ... the management of the resident's clinical, didactic and research curricula and ... requirements, programmatic outcome measures with..

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