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... the claims processing and financial management functions are outsourced to an ... processing operations and systems. The Director, Claims Oversight plays a vital ... claims operations, claims systems change..
Description The Director, Vendor Management - Medicaid Director of Clinical Vendor Program Delivery ... innovative partnerships and services. The Director, Vendor Management requires an in-depth understanding of ... products across..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Indianapolis Indiana ... Indianapolis Indiana Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... waste,..
Description We're an entrepreneurial team set on transforming the US healthcare system and making real improvements in member health outcomes. Identifying and delivering new avenues of growth is a critical company ..
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 Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires an in-depth understanding ... function or segment. Responsibilities The Director, Informatics leverages its..
Description The Medical Director actively uses their medical background, ... work. Responsibilities Title: Commercial Medical Director Location: Work At Home - ... weeks. Job Summary The Medical Director's work includes..
Description The Associate Director, Project Management manages all aspects of a ... and within budget. The Associate Director, Project Management requires a solid understanding of ... work at home The..
... and minimize our risk. The Director, Cyber Defense and Response Operations ... cyber-threats and understands end-to-end data management processes and flows and uses ... threat and data protection and..
Description Responsibilities Role Description Summary The Director of the National Call Center/evendor channel is responsible and accountable for building, leading and having oversight of the go to market business strategy at ..
Description The Associate Director, Technology Solution Implementation delivers new ... to enterprise objectives. The Associate Director, Clinical Release Management and Configuration Management will be responsible for leading ... responsible for..
Description The Associate Director, Technology Leadership is responsible for ... delivery and performance. The Associate Director, Technology Leadership requires a solid ... across department(s). Responsibilities The Associate Director, Technology Leadership..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The Medical Director provides medical..
... to maintain an operational risk management function as a means of ... a means of assisting the Management in assuring that appropriate risk ... in assuring that appropriate risk..
Description The Director, Group Provider Strategy partners with ... health plan contract compliance. The Director, Group Provider Strategy requires an ... in value-based contracts to improve quality, outcomes and cost-of-care...
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The Medical Director actively uses..
Description The Director of User Acceptance Testing (UAT) ... testing teams drive and deliver quality testing results based on the ... to improve consumer's experience. This Director drives software testing..
Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations ... Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for..
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, Quality Assurance for Humana/Your Home Advantage ... programs to establish and maintain quality standards of existing products and ... Home Wellness Assessments. The Associate Director, Quality..
Description The Director, STARS Improvement develops, implements, and ... Stars Program. Directs all Stars quality improvement programs and initiatives for ... ID, MT, WY, AK). The Director, STARS Improvement requires..
Description The Director, Problem, Incident and Event Management drives technical support teams to ... to key technology platforms/applications. The Director, Problem, Incident and Event Management requires an in-depth understanding of..