Director Health Care Quality Management Jobs in Illinois

... 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 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..

... 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..

... Help us elevate our patient care to a whole new level! ... a wide range of complex health and social challenges. With compassionate ... full continuum of our members'..

Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., ... new brand for a primary care medical group practice with centers ... and Texas. CenterWell Senior Primary Care has..

... to facilitate appropriate member physical health and behavioral healthcare through assessment ... behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and ... complex clinical indicators which impact..

... 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..

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

Job Information Humana Associate Director, Health Equity and Community Engagement in ... in Chicago Illinois Description The Health Equity and Community Engagement (HECE) ... and Community Engagement (HECE) Associate Director..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Chicago Illinois ... Chicago Illinois Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... waste,..

... 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..

... actively interviewing for an experienced Director of Hospital Psychiatric Services to ... an experienced Inpatient Behavioral Services Director looking to support a thriving ... opportunity for you!This non-profit acute..

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

... to decrease cost and improve health for members with chronic disease. ... data mining) to improve their care journeys and outcomes, focusing on ... time. Mission aligned to improve..

... and Risk Adjustment National Medical Director in Chicago Illinois Description The ... Chicago Illinois Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... and Risk Adjustment National Medical..

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral ... strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex..

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 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..

... a pro-active claims and risk management program, ensuring a consistent and ... Office of Risk and Claims Management (ORCM), Division of Clinical Risk ... (ORCM), Division of Clinical Risk..

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..

... 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..

Project Leader/Principal, Health Care (MedTech Operations) Who We Are ... BCG delivers solutions through leading-edge management consulting along with technology and ... the bold who advance the health of care..

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 &..