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... processing operations and systems. The Director, Claims Oversight plays a vital ... relate to claims. Responsibilities The Director, Claims Quality Audit will oversee ... operations experience Extensive experience with..
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Description The Director of Health Services for National ... of Health Services for National Medicaid Clinical Operations utilizes clinical skills ... and/or benefit administration determinations. The Director, Health Services requires..
Description The Director, Business Intelligence solves complex business ... provide insight to decision-makers. The Director, Business Intelligence requires an in-depth ... function or segment. Responsibilities The Director, Business Intelligence describes..
Description The Director, Process Improvement analyzes, and measures the effectiveness ... sustainable, repeatable and quantifiable business process improvements. The Director, Process Improvement requires an in-depth understanding of ... function or..
Job Information Humana Director, Strategy Advancement- Medicaid (remote Central or Eastern time ... Description The purpose of the Director, Strategy Advancement -Medicaid, is to work with the ... is to..
... Humana Regional VP, Operations IL Medicaid in Chicago Illinois Description Humana's ... Chicago Illinois Description Humana's Illinois Medicaid, Operations Officer (COO) will be ... of operations for Humana's Illinois..
... Humana Associate Vice President, Quality Improvement for Healthy Horizons in Chicago ... the role of AVP, Quality Improvement for Healthy Horizons. Decisions in ... and Chief Medical Officer for..
Description The Director, Market Development provides support to ... and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, ... federal contract application submissions. The Director, Market Development requires..
Job Information Humana Director, Medicaid Strategic Solutions in Chicago Illinois ... in Chicago Illinois Description Humana Medicaid is seeking exceptional candidates to ... exceptional candidates to join our Medicaid Product..
Description As Humana's Medicaid membership continues to grow, the ... continues to grow, the National Medicaid Clinical Operations team is expanding ... to enhance the clinical delivery process. The National..
Description Humana is a $77 billion (Fortune 41) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Description The Director, Pharmacy Clinical Formulary and Medical ... lines of business (Medicare, Commercial, Medicaid). This position will work and ... the formulary strategies. Responsibilities The Director, Pharmacy Clinical Formulary..
... Information Humana Associate VP, Quality Improvement in Chicago Illinois Description The ... Illinois Description The AVP, Quality Improvement and Performance will develop, maintain, ... years of experience in Quality..
... Associate VP, Health Plan Quality Improvement and Performance in Chicago Illinois ... enterprise-wide. Responsibilities The AVP, Quality Improvement and Performance will develop, maintain, ... Governments on Quality Requirements Performance..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Chicago Illinois ... Chicago Illinois Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
... Insurance Trust Fund Agreement. The Director, Clinical Risk Management reports to ... Affairs, the Division of Performance Improvement and Clinical Effectiveness, Patient Safety, ... response planning, education, and facilitating..
... to join our team as Director of Strategy for our Healthcare ... our Healthcare Quality Reporting and Improvement (HQRI) organization. HQRI is an ... and Stars team centralizes quality..
Description The Director, Strategy Advancement provides data-based strategic direction identifying and delivering new avenues of growth is a critical company priority, championed by the SVP of Retail Strategy & Product. We're ..
