Director Quality Improvement Utilization Management Jobs in Louisville

... 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..

... 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..

... 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..

... 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..

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

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 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, Medical Economics for the Primary ... is committed to providing personalized, high-quality primary care combined with an ... us. The Role The Associate Director, Medical Economics..

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

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..

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

... 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..

... 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 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 Medical Director is a leadership position that ... new business matters. 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 Louisville ... in Louisville Kentucky Description The Director, Behavioral Health (DBH) will ensure ... Healthy Horizons have access to quality care 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..

... 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 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..