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... 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..
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... (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..
... 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..
... equipment Ensure proper medical records management and HIPAA compliance Oversees the ... driven Quality Assurance and Performance Improvement Program of the center, including ... implementing an associated center specific..
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..
... 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..
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..
... 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..
... 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..
... 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..
... 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..
... 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..
... 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..
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..
... for � LGBT diversity, quality improvement, most influential women in corporate ... ongoing oversight requirements for delegated utilization or other quality management activities Conduct provider orientation on ... guidelines..
... 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..
... CA clinic! Dialysis RN and management experience is required for this ... practice of Quality Assessment and Improvement (QAI), including use of FMS ... individual contributor will have significant..
... and College of Healthcare Information Management Executives (CHIME) as one of ... Instagram. The RN Clinical Documentation Improvement Specialist (CDS) will be responsible ... creative problem solving and conflict..
Vice President Medical Management','MEM007188','!*!The Vice President of Medical Management is accountable for daily Medical ... is accountable for daily Medical Management Department operations. The Vice President ... required to ensure..
