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Description Responsibilities The Senior Market/Industry Insights Professional delivers clinical/medical policy insight and information to both internal and external customers for Humana Government Business (HGB). The Senior Market/Industry Insights Professional will draft ..
... for multiple departments, especially utilization management and care management groups. Leverages clinical experience and ... Qualifications Bachelor's degree in Nursing, Healthcare Management or related field Active R.N. ... regulatory..
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... closely with the Quality Improvement Director, Quality Improvement Manager and pharmacy ... Pharmacist, Registered Nurse, other licensed healthcare professional 3 years of experience ... years of experience working on..
Description As the Associate Director, IT Project Management, you will use your background ... background and experience in program management to lead and manage a ... our Medicare segment. The..
Description The Vendor Quality Medical Director will manage clinical vendor quality ... Responsibilities A full time Medical Director to manage clinical vendor quality ... for inpatient and outpatient utilization management..
Description The Hospital Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Hospital Contracting Executive works on problems ..
... 41) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... President, Strategy Advancement for our..
... work closely with the Quality Director, Behavioral Health Director, Quality Improvement Manager and those ... pieces - i.e. Transitional Case Management documentation) Develops collateral documentation needed ... a quality..
... treatments in collaboration with the Director. Plans, coordinates and acts as ... care as per the disease management agreement, including initial and ongoing ... workup of patients for access..
