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... 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 Charlotte North ... North Carolina Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... waste,..
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..
... 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..
... 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..
... train primary care providers in quality-based, senior-focused medicine for existing and ... and procedure, coding and documentation, quality, utilization, customer service standards, team communication ... guidance to ensure that..
... 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..
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..
... as preventive care, chronic disease management, and other domains of health. ... nationally, supporting a national medical director of clinical education and the ... excellence, supporting a national medical..
Description The Clinical Education National Director will directly lead a team ... Responsibilities The Clinical Education National Director role will lead, collaborate, and ... the care team approach to quality..
... 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 Director, Behavioral Health Strategy in Charlotte ... Charlotte North Carolina Description The Director, Behavioral Health (DBH) will ensure ... Healthy Horizons have access to quality care for..
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..
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..
... 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 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..
... 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..
