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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, 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..
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..
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 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..
... in Indiana is seeking a Director, Provider Services (Director, Provider Engagement) who will lead ... engagement and practice transformation. The Director, Provider Services (Director, Provider Engagement) will be responsible..
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 ..
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..
... Associate VP, Health Plan Quality Improvement and Performance in Indianapolis Indiana ... enterprise-wide. Responsibilities The AVP, Quality Improvement and Performance will develop, maintain, ... Governments on Quality Requirements Performance..
Description The Director, STARS Improvement develops, implements, and manages oversight ... manages oversight of the company's Medicare/Medicaid Stars Program. Directs all Stars ... Program. Directs all Stars quality improvement programs..
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 Indianapolis Indiana ... in Indianapolis Indiana Description Humana Medicaid is seeking exceptional candidates to ... exceptional candidates to join our Medicaid Product..
Description Responsibilities The LTSS Program Manager (aka RVP, Operations/ COO) is dedicated full-time to the Indiana Pathways Program. The LTSS Program Manager (aka RVP, Operations/ COO) oversees day-to-day operations of the ..
... 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..
... Humana Associate Vice President, Quality Improvement for Healthy Horizons in Indianapolis ... the role of AVP, Quality Improvement for Healthy Horizons. Decisions in ... and Chief Medical Officer for..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Indianapolis Indiana ... Indianapolis Indiana Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..