Director Medicaid Process Improvement Jobs in North Carolina

Director, Contracting & Network Development','1199846','!*!Position Purpose: ... analyses to identify medical cost improvement opportunities, develop strategies to reach ... implement business solutions to address process and quality gaps, and communicate..

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..

... 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..

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..

... 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 Charlotte ... 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..

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..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Charlotte North ... North Carolina Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..

... of Humana's Commercial, Medicare, and Medicaid lines of business. 25% travel ... all segments (Medicare, Group and Medicaid) accountable for developing and maintaining ... and lead efforts re: continuous..

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..

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..

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 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, 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, Medicaid Strategic Solutions in Charlotte North ... Charlotte North Carolina Description Humana Medicaid is seeking exceptional candidates to ... exceptional candidates to join our Medicaid Product..