Director Quality Improvement Utilization Management Jobs in Chicago

Description The Director of Health Services for National ... and/or benefit administration determinations. The Director, Health Services requires an in-depth ... the clinical delivery process. The Director of Health Services..

... to the Vice President, Medical Management Operations and serves as a ... functions related to HGB's Care Management programs to include predictive models, ... and corresponding support. Also leads..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Chicago Illinois ... Chicago Illinois Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... waste,..

... Enterprise goal of effective cost management. • The team's goal is ... actionable data and analysis for utilization and unit cost management to reduce pharmacy trend for ... •..

... is committed to providing personalized, high-quality primary care combined with an ... in both the treatment and management of most chronic and acute-care ... Responsibilities As a Regional Medical..

... policy requirements. Ensure provision of quality patient care while maintaining cost-effective ... for supporting and driving FMS quality standards through meeting all ESRD ... requirements and the practice of..

... Humana Associate VP, Health Plan Quality Improvement and Performance in Chicago Illinois ... towards value-based relationships and/or improved quality metrics. The Associate VP, requires ... and/or enterprise-wide. Responsibilities The..

... business. Work with local market utilization management and case management teams for inpatient cases. Participate ... for inpatient cases. Participate in Quality Operations including Quality Management Committee, monitor initial..

... services to meet and exceed quality and value delivery key performance ... needs to optimize investments and utilization of global services / capabilitiesLaser ... processes and procedures and all..

... policy requirements. Ensure provision of quality patient care while maintaining cost-effective ... for supporting and driving FMS quality standards through meeting all ESRD ... requirements and the practice of..

... effective performance and delivery of quality home care services, and is ... in conjunction with the Branch Director and Company Finance Department to ... Resources Department and the Executive..

Job Information Humana Associate VP, Quality Improvement in Chicago Illinois Description The ... Chicago Illinois Description The AVP, Quality Improvement and Performance will develop, maintain, ... maintain performance under HGB's..

... facilitate the delivery of high quality, appropriate, and cost-effective behavioral healthcare ... the highest yield opportunities for improvement. You much also be passionate ... with Clinical Operations, Markets, Care..

... The Lead Behavioral Health Medical Director oversees the work of 2 ... The Lead Behavioral Health Medical Director may also lead specific functional ... Directors. Responsibilities The Lead Medical..

... policy requirements. Ensure provision of quality patient care while maintaining cost-effective ... for supporting and driving FMS quality standards through meeting all ESRD ... requirements and the practice of..

Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director will provide..

Job Information Humana Director, Behavioral Health Strategy in Chicago ... in Chicago Illinois Description The Director, Behavioral Health (DBH) will ensure ... Healthy Horizons have access to quality care for..

Description The Associate Director, Consumer Engagement oversees the enrollment, ... product where warranted. The Associate Director, Consumer Engagement requires a solid ... across department(s). Responsibilities The Associate Director, Consumer Engagement..

... facilitate the delivery of high quality, appropriate, and cost-effective behavioral healthcare ... the highest yield opportunities for improvement. You much also be passionate ... with Clinical Operations, Markets, Care..

Description The Associate VP, Product Management will lead, manage and direct ... of sophistication, will offer product management disciplines to the business that ... that will continuously transform patient management..

Description The Associate Director, Vendor Management works as liaison between vendors ... vendors and organization. The Associate Director, Vendor Management requires a solid understanding of ... across department(s). Responsibilities The..

Description The Behavioral Health Medical Director responsible for behavioral health care ... operations. The Behavioral Health Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director..

Job Information Tyson Foods Associate Director - Product Development - Alternative ... that could include new products, quality improvements, cost optimization and capacity ... improvements, cost optimization and capacity utilization...