Director Health Care Quality Management Jobs in District Of Columbia

... Humana Military is the Managed Care Support Contractor (MCSC) for the ... charged with administering the TRICARE health plan in the East Region. ... the claims processing and financial..

Description The Director, QOCA Strategy - serves as ... associates assignments. Responsibilities Responsibilities The Director, QOCA Strategy works with QOCA ... Degree in Nursing, Business Administration, Health Care Administration, or..

Description The Director of Health Services for National Medicaid Clinical ... and/or benefit administration determinations. The Director, Health Services requires an in-depth understanding ... the clinical delivery process. The Director..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Washington District ... Of Columbia Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... waste,..

... a company focused on the health and well-being of the people ... as Associate Vice President, Home Care Product Management for the Value-Based Division of ... outcomes. Initially the..

... the operational, financial, and project management functions of the Health Care Innovation Office, including the operation ... of APA's Mental & Behavioral Health Registry (MBHR). Collaborates across the .....

Description The Associate Director, Technology Solution Implementation delivers new ... to enterprise objectives. The Associate Director, Clinical Release Management and Configuration Management will be responsible for leading ... responsible for..

Job Information Humana Director, Medicaid Strategic Solutions in Washington ... company committed to improving the health of the communities it serves. ... structured problem solving, and project management rigor. We..

Job Information 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..

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

... delivery process. The National Medicaid Director of Clinical Strategy and Practice ... community within the enterprise. The Director of Clinical Strategy has direct ... direct responsibility for establishing the..

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

... leader and innovator in the health and wellness industry. A passionate ... culture. We're not just a health insurance company: our diverse lines ... in developing a robust integrated..

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..

Description The Director, Pharmacy Clinical Pipeline oversees the ... and finance teams. Responsibilities The Director, Pharmacy Pipeline requires a broad ... understanding of pharmacy and managed care to develop and/or..

Job Information Humana Regional VP, Health Services (Mid-Atlantic Region) in Washington ... Columbia Description The Regional VP, Health Services relies on medical background ... on medical background and reviews health..

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

Job Information Humana Associate Director, Health Equity and Community Engagement in ... District Of Columbia Description The Health Equity and Community Engagement (HECE) ... and Community Engagement (HECE) Associate Director..

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

... a company focused on the health and well-being of the people ... of Associate Vice President, Behavioral Health Strategy. In this role, you ... responsibility for evolving Humana's behavioral..

Description The Associate Director, Technology Solution Implementation delivers new ... to enterprise objectives. The Associate Director, Clinical Release Management and Configuration Management will be responsible for leading ... responsible for..

Description The Medical Director actively uses their medical background, ... requested services, requested level of care, and/or requested site of service ... daily work. Responsibilities The Medical Director's work includes..

Description The Director, Strategy Advancement provides data-based strategic ... making real improvements in member health outcomes. We're strategic and analytical, ... along the way. Responsibilities The Director, Retail Strategy &..