Director Quality Improvement Utilization Management Jobs in Tampa

... 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..

Job Information Humana Associate Director Utilization Management in Tampa Florida Description Come ... are looking for an Associate Director, Utilization Management to utilize clinical nursing skills ... benefit administration determinations...

... 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..

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..

... operations of the facility. Provides management and leadership to the staff ... staff and physicians. Oversees the utilization management and daily business operations to ... life safety, and biomedical..

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..

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 Associate VP, Quality Improvement in Tampa Florida Description The ... Tampa Florida Description The AVP, Quality Improvement and Performance will develop, maintain, ... maintain performance under HGB's..

... 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..

Job Information Humana Director, Care Management in Tampa Florida Description The ... in Tampa Florida Description The Director of Care Management provides oversight to ensure the ... Term Services and..

... Humana is seeking an Associate Director, Quality Compliance Nursing that works with ... highest accountability of compliance and quality. The Associate Director, Quality Compliance Nursing requires a solid .....

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

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..

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

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 Director, Behavioral Health Operations for Medicaid ... in Tampa Florida Description The Director, Behavioral Health Operations for Medicaid ... the day-to-day administration and strategic management of behavioral..

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..

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

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..