Director Healthcare Quality Management Jobs in North Carolina

Director, Contracting & Network Development','1199846','!*!Position Purpose: Oversee activities of the provider contracting, network development and/or provider relations functions and aid in formulating and administering organizational policies and procedures.Oversee provider contracting activities ..

SYSTEM EXECUTIVE DIRECTOR PHYSICIAN REVENUE CYCLE','EXE0015B','!*!This position is ... employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a ... responsible for the overall system-wide management responsibility of the..

DIRECTOR QUALITY/PATIENT SAFETY - UNC ROCKINGHAM','AUD000IH','!*!The Director of Quality and Risk Management is responsible for the overall ... the overall operation of the Quality Department and functions as the .....

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

DIRECTOR ACUTE CARE AT HOME - ... AT HOME - VIRTUAL CARE','OTH01Q7C','!*!The Director of UNC Health’s Acute Care ... program is a dynamic, experienced healthcare administrator/operations leader passionate about transforming..

Description The Utilization Management Behavioral Health Professional 2 utilizes ... benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work ... a Compact State The Utilization Management Behavioral Health..

HCS DIRECTOR INFORMATION TECHNOLOGY - CLINICAL APPLICATIONS','INF003C0','!*!Responsible ... settings. Qualified candidate must have management experience leading, planning, organizing and ... optimize expenditure while maintaining exceptional quality and service. Reviews contracts..

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..

HEALTHCARE DATA ANALYST - HOSPITAL QUALITY AND INNOVATION','OTH01PXK','!*!This position may involve ... as well as meet our quality-related regulatory (CMS and The Joint ... (CMS and The Joint Commission), 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..

... 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..

HCS DIRECTOR PATIENT ACCESS - MEDICAID ELIGIBILITY','OTH01Q2C','!*!Manage ... of eligibility review staff for quality assurance. Plans, develops, implements and ... financial problems.Responsible for the overall management of revenue cycle patient..

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 ... factors. Responsibilities Job Title: Medical Director Location: Work..

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..

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..

... join the team as Market Director Clinical Professional Development!n nThis position ... practice and the provision of quality patient care in assigned markets ... clinical education activities. The Market..

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..

EXECUTIVE MEDICAL DIRECTOR - UNC PHYSICIANS NETWORK TRIANGLE ... NETWORK TRIANGLE WEST','ALL00001','!*!The Executive Medical Director supports the Chief Medical Officer ... Physicians Network. As Executive Medical Director, this position provides..

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..

DIRECTOR PERFORMANCE IMPROVEMENT - PERFORMANCE IMPROVEMENT/PATIENT ... overseeing and directing the development, management, and implementation of the organization's ... and implementation of the organization's quality improvement strategy in partnership with..

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..