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... for validation and support of healthcare providers (oncologists/hematologists/APP/Pharmacists) on our promotional ... Actively assess the medical and healthcare landscape by meeting with TLs/HCPs ... of clinical trial design and..
... Lead plans, performs and implements process improvement initiatives such as Lean or ... exciting opportunity to be a leader in CarePlus’ Transformation. The Transformation ... capabilities focused on strategic..
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Description The Process Improvement Lead analyzes, and measures the ... sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems of ... to substantial. Responsibilities The..
Description The Associate Director, Quality Improvement implements quality improvement programs for all lines of ... evaluation. The Associate Director, Quality Improvement requires a solid understanding of ... Responsibilities The Associate..
Description Responsibilities Humana's Corporate Strategy team is a small, high-performing organization that works closely with Humana's senior leadership to chart the course for the company's future. Within Strategy Operations, you will ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Cincinnati Ohio Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..
... development and implementation of quality improvement interventions and audits and assists ... multiple priorities Commitment to continuous process improvement Exceptional verbal and written communication ... degree Advanced degree in..
... and delivering on initiatives and process capabilities that enable improved effectiveness, ... and associate). The Lead defines improvement projects aligned with business strategies ... identify, advise, lead and facilitate..
Description The Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or ..
Description The Director, Quality Improvement implements quality improvement programs for all lines of ... annual evaluation. The Director, Quality Improvement requires an in-depth understanding of ... departments. Responsibilities The Director,..
... call center performance standards. Utilizing process improvement methodology to identify, design and ... data, enrollee feedback and identifying process improvement opportunities COME GROW WITH HUMANA! ... Demonstrated experience in..
... Humana is a Fortune 60 healthcare company with a history of ... 50 years as a proven leader and innovator in the health ... top place to work in..
... Integrity, will create and implement process improvement plans focused on the beneficiary ... design and implementation of the process and experience for the ACD ... Associate Director will oversee..
... Qualifications 3 plus years of healthcare fraud investigation experience 2 plus ... knowledge and experience Experience in healthcare or in a managed care ... planning and implementation of across-the-board..
... that our members receive quality healthcare at an affordable price. You ... and recommendations Identify and suggest process improvement opportunities Develop and monitor team ... (RN) license 3 years..
Job Information Humana Director Medicaid Provider Services (State of OH) in Cincinnati Ohio Description The Director Medicaid Provider Services oversees the plan's strategic provider services, provider engagement and network development. They ..
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 ..
Job Information Humana Behavioral Health Administrative Director in Cincinnati Ohio Description The Behavioral Health Administrative Director builds strategies for development, engagement, best clinical practices and processes for clinical community within the ..
Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..
... overall end to end bid process at a leading Medicare Advantage ... Medicare bids. Create and maintain process improvements to bid filings to ... at least 1 year of..
... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Military to be a thought leader in the industry and an ... and accreditation/regulatory standards during this..
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 ..