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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 Glen Allen ... Allen Virginia Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... waste,..
... 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..
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..
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..
... 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..
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..
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..
... 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..
Job Information Humana Director, Behavioral Health Strategy in Glen ... Glen Allen Virginia Description The Director, Behavioral Health (DBH) will ensure ... Healthy Horizons have access to quality care for..
... 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..
... 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..
... 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..
... 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..
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..