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... Humana's Medicaid Behavioral Health Medical Director will oversee our behavioral health ... and the Behavioral Health Administrative Director to integrate the day-to-day administration ... the day-to-day administration and strategic..
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... the claims processing and financial management functions are outsourced to an ... processing operations and systems. The Director, Claims Oversight plays a vital ... claims operations, claims systems change..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Title: Medical Director Location: Work..
Description The Medical Director actively uses their medical background, ... work. Responsibilities Title: Commercial Medical Director Location: Work At Home - ... weeks. Job Summary The Medical Director's work includes..
Description The Director, Quality Improvement implements quality improvement programs for all lines ... plan, and annual evaluation. The Director, Quality Improvement requires an in-depth understanding ... interrelate across departments. Responsibilities..
Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations ... Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Cincinnati Ohio ... Cincinnati Ohio Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... waste,..
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 Health Equity Director is responsible for setting direction ... achieve this, the Health Equity Director will work with providers, health ... our membership. The Health Equity Director will..
Description The Associate Director, Problem, Incident and Event Management drives technical support teams to ... key technology platforms/applications. The Associate Director, Problem, Incident and Event Management requires a solid understanding..
Description The Associate Director, Utilization Management Nursing uses clinical knowledge, communication ... reviews, and any additional utilization management functions. Coordinates with the Clinical ... including collaboration with the Medical Director..
Description The Associate Director, Quality Assurance for Humana/Your Home Advantage ... programs to establish and maintain quality standards of existing products and ... Home Wellness Assessments. The Associate Director, Quality..
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 Director Medicaid Provider Services (State of ... in Cincinnati Ohio Description The Director Medicaid Provider Services oversees the ... service activities through data integrity management and gathering..
... Information Humana Behavioral Health Administrative Director in Cincinnati Ohio Description The ... Description The Behavioral Health Administrative Director builds strategies for development, engagement, ... community within the enterprise. The..
Description Humana's National Medicaid Quality team is seeking a Market ... for supporting individual Medicaid market quality teams and serving as the ... the corporate level National Medicaid Quality team..
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 actively uses..
Description Responsibilities The Utilization Management Nurse 2 will be responsible ... on medical record documentation for quality and clinical compliance with contract ... for this position . 75% Quality Monitoring..
Description The Dental Director (part-time) provides dental interpretation and ... of services provided by other healthcare professionals in compliance with review ... and responsibilities of the Dental Director include: Develop..
... delivery process. The National Medicaid Director of Clinical Strategy and Practice ... community within the enterprise. The Director of Clinical Strategy has direct ... responsibility for establishing the Care..
Description The Associate Director, Quality Improvement implements quality improvement programs for all lines ... and annual evaluation. The Associate Director, Quality Improvement requires a solid understanding ... across department(s). Responsibilities..
Description The Utilization Management Behavioral Health Professional 2 utilizes ... benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work ... of action. Responsibilities The Utilization Management Behavioral Health..
Description The Director, Population Health Strategy is responsible ... is responsible for improving the quality of care and outcomes while ... defined group of people. The Director, Population Health Strategy..
