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20

Utilization Management Process Improvement Lead Jobs






Job info
 
Company
**********
Location
Washington, DC
Posted Date
Dec 14, 2020
Info Source
Employer  - Full-Time  90 

Project Manager, Healthcare','201464','Zeno','','','!*!ABOUT THE JOB Zeno's healthcare team is searching for a Project Manager to support account teams Key responsibilities include: Lead operational and financial performance of Healthcare account teams, ensuring ..

 
Company
**********
Location
Washington, DC
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
Washington, DC
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
Washington, DC
Posted Date
Feb 25, 2022
Info Source
Employer  - Full-Time  90  

... of the nation's largest healthcare management companies. The GW School of ... patient flow, safety, service, and utilization of resources for daily operations. ... improve performance Leads/Participates in department..

 
Company
**********
Location
Washington, DC
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
Washington, DC
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
Washington, DC
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
Washington, DC
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
Washington, DC
Posted Date
May 17, 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
Washington, DC
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
Washington, DC
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
Washington, DC
Posted Date
Mar 04, 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
Washington, DC
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
Washington, DC
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
Washington, DC
Posted Date
Feb 21, 2022
Info Source
Employer  - Full-Time  90 

... and other members of the management team, provide administrative and business ... Enhancement & Marketing Maximize room utilization of facility using fill rates ... in the analysis. Ensure proper..

 
Company
Location
Washington, DC
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
Washington, DC
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
Washington, DC
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
Washington, DC
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
Washington, DC
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..

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