Vendor Quality Medical Director Jobs

... are outsourced to an external vendor. The Claims Oversight department has ... department has responsibility overseeing the vendor's claims processing operations and systems. ... processing operations and systems. The..

Description The Associate Director, Utilization Management Nursing uses clinical ... and consistent application of appropriate medical necessity criteria. Monitor, analyze, and ... followed including collaboration with the Medical Director to..

Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations ... Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes..

... Stars and Risk Adjustment National Medical Director in Cincinnati Ohio Description The ... Cincinnati Ohio Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... nationally. This role relies..

Job Information Humana Director of Public Policy in Cincinnati ... in Cincinnati Ohio Description The Director of Public Policy role resides ... the development of innovative, high quality government healthcare..

Job Information Humana Director, Care Delivery and EMR/EHR Technology ... in Cincinnati Ohio Description The Director, Technology Solutions devises an effective ... and the core EMR/EHR. The Director, Technology Solutions..

Job Information Humana Director, Strategy and Business Development for ... in Cincinnati Ohio Description The Director, Strategy and Business Development provides ... typically substantial complexity. Responsibilities The Director, Strategy and..

Job Information Humana Director, Operational Effectiveness in Cincinnati Ohio ... strategic priorities. Responsibilities for the Director of Operational Effectiveness (or Director, Strategy Advancement include: Strategy management ... Oversees financial /..

Job Information Humana UM Medical Director - Conviva in Cincinnati Ohio ... in Cincinnati Ohio Description The Medical Director relies on medical background and reviews health claims. ... and reviews..

Job Information Humana Medical Director - S. Florida in Cincinnati ... in Cincinnati Ohio Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..

Job Information Humana Director, State Public Policy in Cincinnati ... in Cincinnati Ohio Description The Director of State Public Policy role ... the development of innovative, high quality government healthcare..

Job Information Humana Medical Director - Texas in Cincinnati Ohio ... in Cincinnati Ohio Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..

Job Information Humana Medical Director - Medicare Pharmacy Appeals in ... in Cincinnati Ohio Description The Medical Director relies on clinical background and ... reviews Medicare drug requests. The Medical..

Job Information Humana Medical Director - National Medicare Team in ... in Cincinnati Ohio Description The Medical Director relies on medical background and reviews preauthorization requests ... preauthorization requests for..

Description The Lead Behavioral Health Medical Director oversees the work of 2 ... oversees the work of 2 Medical Directors who conduct clinical case ... themselves. The Lead Behavioral Health..

Job Information Humana Director Agile Coaching in Cincinnati Ohio ... Humana is looking for a Director to build and lead a ... current Agility strategy. Responsibilities The Director, Agile Coaching..

Current UC employees must apply internally via SuccessFactors > http://bit.ly/UCEMPL   Founded in 1819, the University of Cincinnati embarks upon its third century - building on the past and defining the future ..

Job Information Humana Associate Director, Site Reliability Engineering in Cincinnati ... Cincinnati Ohio Description The Associate Director, Site Reliability Engineering maintains, integrates ... within the organization. The Associate Director, Site..

Job Information Humana Director, Digital Transformation and Implementation in ... Description The purpose of the Director, Technology Solutions Implementation is to ... differentiating capabilities and improve overall quality needed for..

Job Information Humana Medical Director - Florida Medicaid in Cincinnati ... in Cincinnati Ohio Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..

Job Information Humana Director, Behavioral Health Strategy in Cincinnati ... in Cincinnati Ohio Description The Director, Behavioral Health (DBH) will ensure ... Healthy Horizons have access to quality care for..

Job Information Humana Director, Billing & Enrollment - Humana ... Citizenship for this Position The Director will play a key leadership ... been identified. In addition, the Director will serve..

Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Cincinnati Ohio Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the clinical ..