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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..
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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 Metairie Louisiana ... Metairie Louisiana Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... waste,..
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, 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...
... 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 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 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 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 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 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..
... 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..
... 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, 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..
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..
... for the newly-created role of Director, Digital Product Design, a role ... on an enterprise scale, the Director will lead a broad Digital ... of Humana's digital products. The..
Description Responsibilities The Chief Health Equity Officer is responsible for setting direction and establishing strategy to advance equitable health outcomes for our members in Louisiana. To achieve this, the Health Equity ..
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..
... delivery process. The National Medicaid Director of Clinical Strategy and Practice ... community within the enterprise. The Director of Clinical Strategy has direct ... responsibility for establishing the Care..
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..
