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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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Job Information Humana Medicaid Associate Director, Compliance Nursing in Las Vegas ... Vegas Nevada Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
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 ..
Description The Director, Quality Audit (Stars HEDIS Improvement and Operations), leads the advancement ... leads the advancement of initiative improvement strategy, operational execution and performance ... lead the team in..
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, 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 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..
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 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..
... Humana Associate Vice President, Quality Improvement for Healthy Horizons in Las ... the role of AVP, Quality Improvement for Healthy Horizons. Decisions in ... and Chief Medical Officer for..
... 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..
