Utilization Management Process Improvement Lead Jobs in Birmingham, Alabama | Healthcare Jobs | EmploymentCrossing.com


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20

Utilization Management Process Improvement Lead Jobs in Birmingham






Job info
 
Company
**********
Location
Birmingham, AL
Posted Date
Dec 16, 2020
Info Source
Employer  - Full-Time  90  

... Humana is seeking an experienced management professional to lead an interactive team with broad ... member's health outcomes and costs Lead Humana's formulary and medical drug ... clinical drug..

 
Company
**********
Location
Birmingham, AL
Posted Date
Dec 19, 2020
Info Source
Employer  - Full-Time  90  

... (YHA) is a Humana-owned Healthcare Management Company dedicated to improving clinical ... are at risk of excessive utilization of future health related services ... care in their home. This..

 
Company
**********
Location
Birmingham, AL
Posted Date
Feb 09, 2021
Info Source
Employer  - Full-Time  90  

Description The Utilization Management Nurse 2 utilizes clinical nursing ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... state RN licensed required The Utilization Management..

 
Company
**********
Location
Birmingham, AL
Posted Date
Oct 01, 2022
Info Source
Employer  - Full-Time  90  

... performance support, mobile learning and process documents. Plans, organizes, and collaborates ... proficiency testing, and job performance improvement. Makes decisions on moderately complex ... any field Minimum 1 year..

 
Company
Location
Birmingham, AL
Posted Date
Jan 25, 2022
Info Source
Employer  - Full-Time  90  

... education opportunities to drive maximum utilization of available resources, and directing ... problems within department(s), and could lead multiple managers or highly specialized ... highly specialized professional associates. Responsibilities..

 
Company
Location
Birmingham, AL
Posted Date
Sep 06, 2021
Info Source
Employer  - Full-Time  90  

... will work closely with Care Management leaders and Subject Matter Experts ... in the areas of Case Management, Utilization Management and Care Management Support as well as other .....

 
Company
**********
Location
Birmingham, AL
Posted Date
Feb 27, 2021
Info Source
Employer  - Full-Time  90  

... The ACD Referral Authorization Coordinator Lead role will assist the Supervisor ... (ACD). Under direct clinical supervision, process referrals from Military Treatment Facilities ... include data entry into medical..

 
Company
Location
Birmingham, AL
Posted Date
Sep 20, 2021
Info Source
Employer  - Full-Time  90  

... development and implementation of quality improvement interventions and audits and assists ... of experience in Accreditation, Quality Management, Compliance, Utilization Management, Behavioral Health, and/or Case Management Exceptional analytical and..

 
Company
**********
Location
Hoover, AL
Posted Date
Aug 31, 2022
Info Source
Employer  - Full-Time  90  

... to feedback and recommendations by Utilization Review staff. Upon completion of ... courses of action through the utilization of Performance Improvement principles. Responsible for review of ... the QA/PI..

 
Company
**********
Location
Birmingham, AL
Posted Date
Feb 28, 2021
Info Source
Employer  - Full-Time  90  

... to enhance the clinical delivery process. The Director of Health Services ... leads Medicaid shared services operational process and teams responsible for supporting ... and leading the Centralized Outpatient..

 
Company
**********
Location
Birmingham, AL
Posted Date
May 27, 2022
Info Source
Employer  - Full-Time  90  

Description Humana's Enterprise Clinical Management team needs your clinical, business ... various analytical organizations you will lead the clinical review and development ... indicators. Secondly, this role will lead the..

 
Company
**********
Location
Birmingham, AL
Posted Date
May 01, 2021
Info Source
Employer  - Full-Time  90  

... Ensures accuracy of formularies and utilization management (UM) criteria in the Formulary ... and Therapeutics Committee and Drug Utilization Review team meetings Collaborates with ... an expert in Humana's..

 
Company
**********
Location
Birmingham, AL
Posted Date
Aug 29, 2022
Info Source
Employer  - Full-Time  90  

Description Account Management Lead defines the account management strategy for Humana Pharmacy's commercial ... Pharmacy's commercial accounts. The Account Management Lead works on problems of diverse ... are developed. Leads..

 
Company
**********
Location
Birmingham, AL
Posted Date
Dec 16, 2021
Info Source
Employer  - Full-Time  90  

... of the Clinical Drug Policy Management team which ensures synchronization of ... which ensures synchronization of formulary utilization management policies across multiple systems. Humana ... Active, unrestricted pharmacy licensure..

 
Company
**********
Location
Birmingham, AL
Posted Date
Oct 15, 2021
Info Source
Employer  - Full-Time  90  

Description The Process Improvement Lead analyzes, and measures the effectiveness ... sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems of diverse ... moderate to..

 
Company
**********
Location
Birmingham, AL
Posted Date
Apr 06, 2022
Info Source
Employer  - Full-Time  90  

Description The Lead Behavioral Health Medical Director oversees ... doing case reviews themselves. The Lead Behavioral Health Medical Director may ... Health Medical Director may also lead specific functional area..

 
Company
**********
Location
Birmingham, AL
Posted Date
Nov 21, 2021
Info Source
Employer  - Full-Time  90  

... leader on LTC population health management and the integrated health model, ... through the Peer 2 Peer process, and in some instances these ... health, or disease or care..

 
Company
**********
Location
Birmingham, AL
Posted Date
Mar 22, 2021
Info Source
Employer  - Full-Time  90  

... Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... to enhance the clinical delivery process. The Associate Director, Compliance Nursing ... problems within department(s), and..

 
Company
**********
Location
Birmingham, AL
Posted Date
Sep 15, 2021
Info Source
Employer  - Full-Time  90  

... Understand and engage in risk management procedures such as identifying, coordinating, ... standards; Participate in all quality improvement procedures and adhere to quality ... procedures and adhere to quality..

 
Company
**********
Location
Birmingham, AL
Posted Date
Jun 26, 2023
Info Source
Employer  - Full-Time  90  

... meetings with Humana's CEO and management team and frequently deliver strategy ... role is modeled after top-tier management consultant experience. As such, day-to-day ... lines of business to reduce..

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