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Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..
Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new ..
... kidney disease. Come join a leader in Dialysis, where assignments are ... Summary: The Fresenius Medical Care Healthcare Recruitment registered nurse (RN) is ... based on established clinical nursing..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Description The Director, Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking and forecasting, supports financial sales analysis and market event news. This position will work and collaborate with ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Genesis HealthCare is a leading provider of ... is a leading provider of healthcare services from short-term to long-term ... through the delivery of high-quality healthcare and everyday compassion!We Care..
... in Pittsburgh Pennsylvania Description The Healthcare Quality Reporting & Improvement (HQRI) ... clinical industry representative. As a leader, this role leads HQRI's Provider ... guidance to ensure physician and..
... policy, procedures, standards of nursing practice, state and federal regulations. Performs ... as indicated and notifies Team Leader, Charge Nurse, Clinical Manager or ... Care Technicians/LPNs as a Team..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
BenefitsTuition AssistanceVariable compensation plansTuition, Travel, and Wireless Service DiscountsHealth, Dental, Vision, Company-paid life insurance, 401K, Paid Time OffEmployee Assistance Program to support mental healthEmployee Foundation to financially assist through unforeseen hardshipsDiverse, ..
... Humana Lead Product Manager - Healthcare API in Pittsburgh Pennsylvania Description ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..
Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ..
... to patients at a contracted healthcare system, and become an integral ... license in the state of practice; * Associates Degree in Nursing ... in-patient treatments in hospital or..
GastroenterologistnLocation: Pittsburgh, PAn nMPLT Healthcare is looking for physicians who ... benefits of working with MPLT Healthcare include:nn Flexibility u2013 work when, ... access to your personal MPLT Healthcare consultantn..
Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Pittsburgh Pennsylvania Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..
... in Pittsburgh Pennsylvania Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. The National Medicaid Director of ..
Job Overview Supervising Pharmacist - Rosslare, Co. Wexford To provide pharmacy services as set out in the Community Pharmacy Contractor Agreement for the Provision of Community Pharmacy Services and in accordance ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
... & goals, utilizing the Clinical Practice Model (CPM) and the “Caring-Quality ... life-long learning through certification, advanced practice, higher education, and literature review. ... Medical Personnel is a national..