Vendor Quality Medical Director Jobs in Clearwater

... 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..

... drug manufacturers and providers. The Director, Pharmacy Clinical Formulary and Medical Strategies requires a broad understanding ... execute on the formulary and medical drug strategies. Responsibilities The Director, Pharmacy..

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..

Job Information Humana RN, Associate Director, Utilization Management (Long Term Care) ... is seeking a RN, Associate Director of Utilization Management for Long ... for members. The RN, Associate Director..

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

... Humana Associate VP, Health Plan Quality Improvement and Performance in Tampa ... towards value-based relationships and/or improved quality metrics. The Associate VP, requires ... and/or enterprise-wide. Responsibilities The AVP,..

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 Director, Provider Contracting LTC Medicaid, FL ... in Tampa Florida Description The Director, Network Development, Long Term Care ... Medicaid Managed Care Contract. The Director will assess..

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

Job Information Humana Director, Behavioral Health Operations for Medicaid ... in Tampa Florida Description The Director, Behavioral Health Operations for Medicaid ... including utilization management, care management, quality improvement, and..

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, State Public Policy in Tampa ... in Tampa Florida Description The Director of State Public Policy role ... the development of innovative, high quality government healthcare..

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

Job Information Humana Associate VP, Quality Improvement in Tampa Florida Description ... Tampa Florida Description The AVP, Quality Improvement and Performance will develop, ... maintain performance under HGB's Clinical Quality..

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

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

Job Information Humana RN, Associate Director, Utilization Management (Long Term Care) ... is seeking a RN, Associate Director of Utilization Management for Long ... for members. The RN, Associate Director..

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

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

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

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

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

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