Director Healthcare Quality Management Jobs

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..

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

... Information Humana Care Team Medical Director in Salem Oregon Description The ... Description The Care Team Medical Director is responsible for improving the ... is responsible for improving the..

Job Information Humana Medical Director - Medicare Pharmacy Appeals in ... Salem Oregon Description The Medical Director relies on clinical background and ... Medicare drug requests. The Medical director work..

Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Salem Oregon Description Humana ... Healthy Horizons is seeking a Quality Improvement Program..

Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director will provide..

Description The Medical Director actively uses their medical background, ... daily work. Responsibilities The Medical Director's work includes computer-based review of ... and possible participation in care management. The clinical..

Description The Medical Director actively uses their medical background, ... daily work. Responsibilities The Medical Director's work includes computer-based review of ... and possible participation in care management. The clinical..

Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... daily work. Responsibilities The Medical Director provides medical interpretation and decisions ... of services provided by other healthcare..

Description The Behavioral Health Medical Director responsible for behavioral health care ... operations. The Behavioral Health Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director..

Description The Medical Director's primary responsibility is the review ... level of care. The Medical Director's work assignments involve moderately complex ... of health. Responsibilities The Medical Director actively uses..

Job Information Humana UM Medical Director - Conviva in Salem Oregon ... Salem Oregon Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director..

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 Associate Director, Health Information Management in Salem Oregon Description The ... Salem Oregon Description The Associate Director, Health Information Management ensures data integrity and quality for our..

Job Information Humana Medical Director - Texas in Salem Oregon ... Salem Oregon Description The Medical Director actively uses their medical background, ... daily work. Responsibilities The Medical Director's work..

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 - S. Florida in Salem ... Salem Oregon Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

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

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

... and Risk Adjustment National Medical Director in Salem Oregon Description The ... in Salem Oregon Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... guidance to ensure physician..

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..

Description The Medical Director actively uses their medical background, ... daily work. Responsibilities The Medical Director's work includes computer-based review of ... and possible participation in care management. The clinical..

... Humana Nationwide Medicaid Behavioral Health Quality Lead in Salem Oregon Description ... Oregon Description The Behavioral Health Quality Lead will report directly to ... directly to the National Medicaid..