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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..
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...
Description The Director, QOCA Strategy - serves as ... associates assignments. Responsibilities Responsibilities The Director, QOCA Strategy works with QOCA ... 5 or more years of management experience 5 or..
... 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..
... 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 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 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..
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...
... most to consumers, our clinical quality and brand strategy can help ... enterprise transformation to a consumer-centric quality model, tell the story why ... why it matters and how..
... 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 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 Solutions delivers software applications ... technology modernization, strategic partnerships, high quality technology solutions that align with ... 20,000 users. Reporting to the Director of Technology..
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 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..
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..
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 relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The Medical Director actively uses..
... to join our team as Director, Quality Engineering. Operating on an enterprise ... focus on software and infrastructure quality, and will own the end-to-end ... end-to-end accountability for the..
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 Manager, Quality Assurance develops and implements programs ... programs to establish and maintain quality standards of existing products and ... to focus employees on the quality of care..
Description Humana is seeking a Director of Strategy with significant strategy ... experts, members of Humana's executive Management Team, as well as corporate, ... To that end, as a Director..
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..