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Description The Manager, Vendor Management works as liaison ... between vendors and organization. The Manager, Vendor Management works within specific ... schedules and goals. Responsibilities The Manager, Vendor Management reviews..
... section 4. Responsibilities The UM Manager will lead a team of ... guiding clinical decisions. The UM Manager will be responsible for workload ... distribution of the team. The..
Description The Director, Process Improvement analyzes, and measures the effectiveness ... process improvements. The Director, Process Improvement requires an in-depth understanding of ... segment. Responsibilities The Director, Process Improvement researches..
Description The Manager, Software Engineering codes software applications ... based on business requirements. The Manager, Software Engineering works within specific ... schedules and goals. Responsibilities The Manager, Software Engineering standardizes..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..
... all levels and drive increased performance. Perform and monitor routine audits ... audits to ensure successful quality performance outcomes and compliance standards Develop ... plan of action for process..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Green Bay Wisconsin Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to ..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Green Bay Wisconsin Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that ..
Description The Pharmacy Clinical Advisor Professional 2 is an integral part of the Pharmacy Stars team which is accountable for Humana's Patient Safety and medication related Star measure performance. The Pharmacy ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Job Information Humana Senior Project Manager -- Remote in Green Bay ... Wisconsin Description The Senior Project Manager manages all aspects of a ... within budget. The Senior Project Manager..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Green Bay Wisconsin Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of the ..
... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary. The PDC Care Manager will assist beneficiaries as they ... Military TRICARE - PDC Care..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... Government. Responsibilities The Telephonic Care Manager will be part of the ... of the condition/disease. The care manager will..
... initiatives. Ensure team process and performance compliant with all applicable regulatory ... program is continuously striving for improvement by active engagement in quality ... engagement in quality monitoring and..
... operational metrics that systematically measure performance versus plan against medical costs ... a communication channel that acknowledges performance improvement in the organization Ensure the ... plan designed to address..
... (CCM) organization is seeking a Manager, Fraud & Waste to join ... As the Fraud & Waste Manager at Humana, you will support ... recommendations Identify and suggest process..
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 ..
Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) ... Horizons is seeking a Quality Improvement Program Lead who will be ... Humana Healthy Horizon's National Quality Improvement (QI)..
Description iCare is seeking an Associate Director, Medicare Care Management who will lead teams of healthcare professionals responsible for care management. The Associate Director, Medicare Care Management role requires a solid ..
