THE LARGEST COLLECTION OF JOBS ON EARTH
healthcare
Supports PDF, DOC, DOCX, TXT, XLS, WPD, HTM, HTML files up to 5 MB
Description The Project Manager 2 manages all aspects of ... and within budget. The Project Manager 2 work assignments are varied ... of action. Responsibilities The Project Manager 2 designs,..
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..
Sign In or Sign Up in seconds to view this job on EmploymentCrossing.
Job Information Humana Medicaid Associate Director, Compliance Nursing in San Juan Puerto Rico Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, ..
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..
... nation's largest full-service pharmacy benefits manager (PBM) specifically for the hospice ... and clinical training, and process improvement to positively impact overall financial ... etc.) Develop and document a..
Medical Director Opportunity - Medicare Risk Adjustment HCC Review - Puerto Rico (Option to be Florida Based)!!rnOption to either live in Puerto Rico or Florida...rnFull-Time Opportunity, M-F 8am - 5pm type ..
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 ..
Description The Associate Director, Vendor Management works as liaison between vendors and organization. The Associate Director, Vendor Management requires a solid understanding of how organization capabilities interrelate across department(s). Responsibilities The ..
... (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 ..
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..
Job Information Humana Manager, Care Management/HMS (RN FULLY BILINGUAL ... Juan Puerto Rico Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management..
Description The Associate Director, Consumer Engagement oversees the enrollment, education, engagement, and activation duties for client groups regardless of segment, and for product where warranted. The Associate Director, Consumer Engagement requires ..
... commitment to the Quality Assessment Performance Improvement Program (QAPI)) and CQI activities, ... Actively participates in Quality Assessment Performance Improvement (QAPI) process that may enhance ... related problems to..
Job Information Humana Medicare Appeals and Grievance Medical Director in San Juan Puerto Rico Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for ..
... (QEP) and Quality Assessment and Performance Improvement (QAI) activities. Actively participates in ... activities. Actively participates in process improvement activities that enhance the likelihood ... When appropriate, works with..
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 ..
Job Information Humana Senior Project Manager -- Remote in San Juan ... Rico Description The Senior Project Manager manages all aspects of a ... within budget. The Senior Project Manager..
Job Information Humana Medical Director of Long Term Care, Florida in San Juan Puerto Rico Description The Long Term Care Medical Director supports the Long Term Care program in meeting optimal ..
... of Health and Wellness quality improvement projects; analyzing and summarizing quality ... and services; and leading quality improvement projects for Kroger Health with ... quality assurance expert in process..
