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19

Utilization Management Process Improvement Lead Jobs in Missouri






Job info
 
Company
**********
Location
Springfield, MO
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
Springfield, MO
Posted Date
May 12, 2021
Info Source
Employer  - Full-Time  90  

Description The Clinical Pharmacy Lead monitors drug development pipeline, and ... health outcomes. The Clinical Pharmacy Lead works on problems of diverse ... is responsible for client cost management and..

 
Company
Location
Springfield, MO
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
Charleston, MO
Posted Date
Nov 02, 2021
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
Springfield, MO
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
Springfield, MO
Posted Date
May 27, 2021
Info Source
Employer  - Full-Time  90  

Description The Clinical Pharmacy Lead monitors drug development pipeline, and ... health outcomes. The Clinical Pharmacy Lead works on problems of diverse ... is responsible for client cost management and..

 
Company
**********
Location
Springfield, MO
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
Saint Joseph, MO
Posted Date
Sep 03, 2022
Info Source
Employer  - Full-Time  90  

... Louisiana is seeking a Manager, Utilization Management (Behavioral Health) who will utilize ... benefit administration determinations. The Manager, Utilization Management Behavioral Health applies a Person-Centered ... Essential Functions and..

 
Company
Location
Springfield, MO
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
Kansas City, MO
Posted Date
Oct 25, 2021
Info Source
Employer  - Full-Time  90  

... care model, where our physicians lead a multi-disciplinary care team supporting ... motivating, and retaining organizational talent Lead medical center operations consistent with ... initiatives, Hedis/Star gap closure and..

 
Company
**********
Location
Springfield, MO
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
Springfield, MO
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
Springfield, MO
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
Springfield, MO
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
Saint Peters, MO
Posted Date
Jun 09, 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
Farmington, MO
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
Springfield, MO
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
Springfield, MO
Posted Date
Nov 19, 2022
Info Source
Employer  - Full-Time  90 

... meet regulatory compliance. Leads Performance Improvement projects, serves as clinical nutrition ... when in serving in a management lead role.Preferred: Masters with Additional Board ... of clinical experience and..

 
Company
**********
Location
Springfield, MO
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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