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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 Metairie Louisiana ... Metairie Louisiana 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..
... 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..
Job Information Humana Director, Quality Improvement in Metairie Louisiana Description The ... in Metairie Louisiana Description The Director, Quality Improvement implements quality improvement programs for all lines of ... plan,..
... Information Humana Behavioral Health Medical Director - Louisiana Medicaid in Metairie ... Humana's Louisiana Medicaid BH Medical Director will oversee our behavioral health ... the day-to-day administration and strategic..
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..
... 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..
... 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 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 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..
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 Humana Director, Behavioral Health Strategy in Metairie ... in Metairie Louisiana Description The Director, Behavioral Health (DBH) will ensure ... Healthy Horizons have access to quality care for..
... 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..
... 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..