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Description The Director, QOCA Strategy - serves as the strategic leader in resource utilization; budget and MER oversight; vendor oversight; and for clinician and non-clinician flex associates and off-shore vendor associates ..
... nation's largest full-service pharmacy benefits manager (PBM) specifically for the hospice ... service. Summary The Clinical Account Manager (CAM) is directly responsible for ... assigned client(s). The Clinical Account..
... Health Parity, Clinical compliance, and quality performance and staffing management. Detailed ... Audit team to assure high quality and compliant care is delivered ... business related field; *Active clinical..
... Healthy Horizons have access to quality care for their behavioral health ... as a key leader in quality improvement oversight and activities. Represent the ... Marriage and Family Therapist..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... and other military healthcare programs. High-quality service, cost-effective platforms, and progressive ... Government. Responsibilities The Telephonic Care Manager will..
... (CCM) organization is seeking a Manager, Fraud & Waste to join ... As the Fraud & Waste Manager at Humana, you will support ... so that our members receive..
... the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI ... and actively participates in process improvement activities that enhance the likelihood ... patients will achieve the FMC..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Colorado Springs ... in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be ... Stars Program...
Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. The National Medicaid Director of ..
Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - ... Horizons is seeking a Senior Quality Program Delivery Professional who will ... who will manage and support quality improvement..
... The registered professional nurse (CAP RN 1) position is an entry ... for Registered Nurses. The CAP RN 1 is accountable and responsible ... health care team, the CAP..
... for inpatient cases. Participate in Quality Operations including Quality Management Committee, monitor initial peer ... monitor initial peer review on quality of care complaints Participate in ... of Humana..
Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance with accreditation standards across multiple operational areas within Humana. Responsibilities ..
Description The Learning Facilitation Professional 2 (LFP2) plans, coordinates, conducts or facilitates learning experiences for Humana Military associates and/or external audiences. The LFP2 creates an environment that is conducive to learning ..
... and other military healthcare programs. High-quality service, cost-effective platforms, and progressive ... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary. The PDC Care..
... nation's largest full-service pharmacy benefits manager (PBM) specifically for the hospice ... customer service. The Clinical Account Manager (CAM) is directly responsible for ... assigned client(s). The Clinical Account..
... Humana Nationwide Medicaid Behavioral Health Quality Lead in Colorado Springs Colorado ... Colorado Description The Behavioral Health Quality Lead will report directly to ... directly to the National Medicaid..
Description The Quality Compliance Professional 2 completes annual ... Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments ... courses of action. Responsibilities..
... nation's largest full-service pharmacy benefits manager (PBM) specifically for the hospice ... an account or branch for quality assessment, education and clinical training, ... and clinical training, and process..