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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 The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated reporting. The Consumer Service Operations Professional 2 evaluates ..
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,..
... Data Reporting Lead will pull healthcare data and use it to ... will help the plan identify improvement efforts, interventions and initiatives. Responsibilities ... required data elements for Quality..
Description The Process Improvement Lead analyzes, and measures the ... sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems of ... will lead a team..
... Information Humana RN, Senior Stars Improvement, Clinical Professional in Cincinnati Ohio ... seeking a RN, Senior Stars Improvement, Clinical Professional who will be ... Stars Program. The Senior Stars..
Job Information Humana Senior Process Improvement Professional - Remote OH, IN, ... Cincinnati Ohio Description The Senior Process Improvement Professional analyzes, and measures the ... sustainable, repeatable and quantifiable business..
Job Information Humana Quality Improvement Coordinator in Cincinnati Ohio Description ... Cincinnati Ohio Description The Quality Improvement Coordinator 3 assists in administering ... in administering and monitoring quality improvement and..
Description The Process Improvement Lead analyzes, and measures the ... sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems of ... Responsibilities The Utilization Management..
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 The Stars Improvement, Clinical Professional responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Stars Improvement, Clinical Professional work assignments are varied and frequently ..
Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..
Job Information Humana Healthcare Services Senior Learning Design Professional-Remote ... variable factors. Responsibilities The HCS (Healthcare Services) Learning and Curriculum Senior ... proficiency testing, and job performance improvement. Provides instruction..
... cost of care. The Senior Process Improvement Professional analyzes, and measures the ... sustainable, repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work assignments involve moderately..
Description The Manager, Quality Improvement implements quality improvement programs for the Kentucky Medicaid ... includes quality compliance and quality improvement activities such as the annual ... such as the annual..
... Humana Associate Vice President, Quality Improvement for Healthy Horizons in Cincinnati ... the role of AVP, Quality Improvement for Healthy Horizons. Decisions in ... a clinical environment or within..
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 Manager, STARS Improvement develops, implements, and manages oversight ... position will manage the Stars improvement team. Responsibilities The Manager, STARS ... team. Responsibilities The Manager, STARS Improvement develops..
... 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..
Job Information Humana Senior Quality Improvement Professional - EPSDT - Office ... Ohio Description The Senior Quality Improvement Professional-EPSDT (Early Periodic Screening Diagnosis ... Diagnosis and Treatment) uses quality improvement..
... Director, Contract Tools, Education and Process for Network Language Resource Group ... implemented. Supports PPS with operational improvement initiatives and oversight. Required Qualifications ... Qualifications Bachelor's Degree in Business,..
... Florida is seeking a STARS Improvement Professional 2 who will develop, ... They will direct all quality improvement programs and initiatives. The STARS ... programs and initiatives. The STARS..
Description The Senior Process Improvement Professional analyzes, and measures the ... sustainable, repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work assignments involve moderately ... factors. Responsibilities..
