THE LARGEST COLLECTION OF JOBS ON EARTH
healthcare
Supports PDF, DOC, DOCX, TXT, XLS, WPD, HTM, HTML files up to 5 MB
Description The Medical Director relies on medical background and ... on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Title:..
... Location: Work from Home KY Medicaid Medical Director - The Medical Director's primary responsibility is the review ... level of care. The Medical Director's work assignments involve moderately complex..
... charged with administering the TRICARE health plan in the East Region. ... processing operations and systems. The Director, Claims Oversight plays a vital ... relate to claims. Responsibilities The..
Description The Medical Director relies on medical background and ... on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The..
... for all customers. Influences HBG's health services strategy by making decisions on ... care organization to include Medicare, Medicaid, TRICARE and/or Commercial products Deep ... TRICARE contracts and/or the..
Description Humana's National Medicaid Quality team is seeking a ... be responsible for supporting individual Medicaid market quality teams and serving ... to the corporate level National Medicaid Quality team..
Description The Medical Director relies on medical background and ... on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The..
Description The Medical Director actively uses their medical background, ... to make determinations whether requested services, requested level of care, and/or ... work. Responsibilities Title: Commercial Medical Director Location: Work..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Louisville Kentucky ... Louisville Kentucky Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, ... hospital, and/or other provider behavioral health contracts for an organization that ... an organization that provides..
... experience designed to meet the whole-health needs of the people we ... help them achieve their best health. Dedicated to simplifying the healthcare ... difference in the lives and..
Description As Humana's Medicaid membership continues to grow, the ... continues to grow, the National Medicaid Clinical Operations team is expanding ... team is expanding our shared services organization to..
... of excessive utilization of future health related services and to supplement Humana's Health Assessment Program. The summary of ... Risk Adjustment (MRA) and healthcare services. Responsibilities Job Title: Your..
... organizational efforts on improving Kentucky Medicaid clinical quality performance measures to ... Humana Healthy Horizons in Kentucky Medicaid Plan. Plans, performs, and implements ... closely with the Quality Improvement..
... Information Humana Care Team Medical Director in Louisville Kentucky Description The ... Description The Care Team Medical Director is responsible for improving the ... of people most impacted by..
Description The Associate Director of Care Team Nursing assesses ... wellbeing of members. The Associate Director of Care Team Nursing requires ... personalized experience for managing their health. To meet..
... organizational efforts on improving behavioral health (BH)/Substance Use Disorder (SUD) clinical ... Humana Healthy Horizons in Kentucky Medicaid Plan. They will plan, perform, ... sustainable, repeatable, and quantifiable behavioral..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support ... documentation, and communication of medical services and/or benefit administration determinations. The ... determinations...
Description The Director, QOCA Strategy - serves as the strategic leader in resource utilization; budget and MER oversight; vendor oversight; and for clinician and non-clinician flex associates and off-shore vendor associates ..
Description The Director, Strategy Advancement provides data-based strategic ... making real improvements in member health outcomes. We're strategic and analytical, ... along the way. Responsibilities The Director, Retail Strategy &..
Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, and executes physician, ... hospital, and/or other provider behavioral health contracts for an organization that ... for an organization that provides..
... implementation with regard to Behavioral Health program. With no direct reports, ... development and implementation of behavioral health program enhancements for Humana's Healthy ... Position reports to the Behavioral..
