Director Quality Improvement Utilization Management Jobs in District Of Columbia

... Humana is seeking an experienced management professional to lead an interactive ... drug manufacturers and providers. The Director, Pharmacy Clinical Formulary and Medical ... medical drug strategies. Responsibilities The..

... (YHA) is a Humana-owned Healthcare Management Company dedicated to improving clinical ... dedicated to improving clinical and quality outcomes by bridging the gap ... are at risk of excessive..

Description The Director, QOCA Strategy - serves as ... the strategic leader in resource utilization; budget and MER oversight; vendor ... associates assignments. Responsibilities Responsibilities The Director, QOCA Strategy works..

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

... team as Associate Vice President, Utilization Management. The associate will play an ... role in proliferating Humana's proprietary utilization management model(s), specific to homecare services, ... team as Associate..

... 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..

Job Information Humana Associate VP, Quality Improvement in Washington District Of Columbia ... Of Columbia Description The AVP, Quality Improvement and Performance will develop, maintain, ... maintain performance under HGB's..

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..

... 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..

... 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..

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..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Washington District ... Of Columbia Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... waste,..

... departments Leads implementation of process improvement initiatives based on data analysis ... Reviews inventory reports and assists management with data tracking to identify ... case findings Educates providers on..

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

Job Information Humana Medical Director of Long Term Care, Florida ... The Long Term Care Medical Director supports the Long Term Care ... contractual requirement. Responsibilities The Medical Director provides..

... 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..

... 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 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..

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..

... is responsible for client cost management and satisfaction. The CAM is ... an account or branch for quality assessment and process improvement to positively impact overall financial ... related..