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23

Utilization Management Process Improvement Lead Jobs in Charlotte





Job info
 
Company
**********
Location
Charlotte, NC
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
Charlotte, NC
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
Charlotte, NC
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
Charlotte, NC
Posted Date
Sep 11, 2023
Info Source
Employer  - Full-Time  90  

... Nurse: Serves as a team lead and subject matter expert (SME) ... CarePlus departments Leads implementation of process improvement initiatives based on data analysis ... Reviews inventory reports and..

 
Company
**********
Location
Charlotte, NC
Posted Date
Jul 17, 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
Charlotte, NC
Posted Date
Apr 13, 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
Charlotte, NC
Posted Date
Aug 28, 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
Charlotte, NC
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
Charlotte, NC
Posted Date
Apr 25, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Process Improvement Lead South Carolina Medicaid (Utilization and Case Management) in Charlotte North Carolina Description ... Charlotte North Carolina Description The Process Improvement Lead analyzes, and measures..

 
Company
Location
Charlotte, NC
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
Gastonia, NC
Posted Date
Jul 29, 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
Greenville, NC
Posted Date
Jul 28, 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
Charlotte, NC
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
Charlotte, NC
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
Gastonia, NC
Posted Date
Jul 17, 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
Charlotte, NC
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
Kannapolis, NC
Posted Date
Jul 17, 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
Charlotte, NC
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..

 
Company
**********
Location
Charlotte, NC
Posted Date
May 26, 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
Charlotte, NC
Posted Date
Nov 20, 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
Charlotte, NC
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..

 
Job title
GRANTED JOB
Company
**********
Location
Pineville, NC
Posted Date
Jun 11, 2025
Info Source
Employer  - Full-Time  90 

... practice of Quality Assessment and Improvement (QAI), including use of FMS ... individual contributor will have significant project/process responsibilities. Program or project responsibility ... and develops a mechanism or..

 
Company
**********
Location
Charlotte, NC
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..

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