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... is currently seeking a qualified Quality Control Manager in Dover, DE. The Quality Control Manager is directly responsible for the ... is directly responsible for the quality of all..
... strategic initiatives while maintaining continuous quality improvement. The ownership of the ... ongoing development of customer experience, quality, and training to meet changes ... targets, goals, and metrics. Manages..
Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management works within specific ... you succeed, we succeed! The Manager, Care Management oversees..
Job Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional ... action. Responsibilities As a HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional..
... Dover Delaware Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) relies ... a Vice President in Healthcare..
Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... you succeed, we succeed! The Manager, Utilization Management Nursing..
Description The Manager, Compliance Nursing reviews utilization management activities ... fraud, waste, and abuse. The Manager, Compliance Nursing works within specific guidelines ... schedules and goals. Responsibilities The Manager, Compliance..
Description The Manager, Compliance - Medicaid State Reporting ensures ... - Medicaid State Reporting ensures compliance with governmental requirements. The Manager, Compliance - Medicaid State Reporting works ... perks for..
Description The Manager, Risk Adjustment oversees coding educators ... Adjustment oversees coding educators and quality assurance audits of medical records and ... and Medicaid Services (CMS). The Manager, Risk Adjustment..
... letter, certifications, etc. Experience in Quality Control, Systems, QA, Technology and ... strategies for establishing and maintaining quality system compliance to global regulations, directives and ... EU MDD/MDR, and..
... with a context of regulatory compliance, and work is assisted by ... meeting departmental expectations, and meets compliance timelines. Supports the assigned work ... training in transitions of care,..
... delivery, an architecture standard and compliance, and audit perspective. Be delivery ... management Manage vendors to achieve quality results based on contracts using ... such as: business analysts, architects,..
... MAJOR FUNCTIONS: The Assistant General Manager Specialist has operational and limited ... the assignment. The Assistant General Manager Specialist operates any and all ... the directive of the Regional..
Job Information Humana Bilingual Quality Auditor in Dover Delaware Description ... Dover Delaware Description The Bilingual Quality Auditor/ Professional 2 ensures that ... and Medicare Services standards of quality. Review..
... join our team as Director, Quality Engineering. Operating on an enterprise ... focus on software and infrastructure quality, and will own the end-to-end ... end-to-end accountability for the ongoing..
... Dover Delaware Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... Strategy Advancement in the Healthcare Quality Reporting and Improvement organization (HQRI) ... Must be passionate about healthcare..
... a strategic plan to improve quality, reduce risk, and increase efficiencies: ... status reports/metrics to executive leadership, compliance and functional area leaders on ... year PDL/PDG cycle Supports Project..
Job Information Humana Associate Director, Provider Data Interoperability in Dover Delaware Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and ..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being ..
Description This role will strengthen our Insurance Product Delivery Management Team to drive end-to-end Insurance Product projects cooperating closely with our Product Strategy, Enablement, Finance, IT, Compliance and Sales / Account ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in ... in Dover Delaware Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines..
... and efficient business solutions for quality assurance and risk mitigation in implementing ... data retention to assure data quality standards. This position collaborates with ... to ensure data consistency..
