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DIRECTOR PERFORMANCE IMPROVEMENT - PERFORMANCE IMPROVEMENT/PATIENT SAFETY','OTH01PLI','!*!Responsible for overseeing and directing the development, management, and implementation of the organization's quality improvement strategy in partnership with the senior leadership team. Ensures alignment ..
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HCS DIRECTOR PATIENT ACCESS - MEDICAID ELIGIBILITY','OTH01Q2C','!*!Manage Medicaid eligibility enrollment of all Medicaid programs statewide. Reviews work of eligibility review staff for quality assurance. Plans, develops, implements and monitors comprehensive Medicaid ..
RN NURSING COORDINATOR - CHILDREN'S SUPPORT SERVICES','CLI00CF2','!*!RN Coordinator needed for UNCH Children's Rheumatology & Clinical Immunology clinics. This is a 40 hours/week, STATE BENEFITED, Exempt status position located in the Children’s ..
Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..
Description The Director, Strategy Advancement provides data-based strategic direction identifying and delivering new avenues of growth is a critical company priority, championed by the SVP of Retail Strategy & Product. We're ..
Description The Clinical Recruiter recruits and interviews prospective employees for hourly and salaried positions for our Care Delivery Organization. Humana is seeking a recruiter who is a self-starter, able to work ..
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 Associate Director, Strategy Advancement provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence and strategic planning support for EIP ( Enterprise Information Protection ..
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 ..
Job specifications are intended to present a descriptive list of the range of duties performed by employees. Specifications are not intended to reflect all duties performed within the job. SUMMARY Bering ..