Vendor Quality Medical Director Jobs in Colorado Springs

... 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 Medical Director - Texas in Colorado Springs ... Colorado Springs Colorado Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..

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

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

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

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

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 Medical Director - Medicare Pharmacy Appeals in ... Colorado Springs Colorado Description The Medical Director relies on clinical background and ... reviews Medicare drug requests. The Medical..

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

Job Information Humana Director, Strategy and Business Development for ... Colorado Springs Colorado Description The Director, Strategy and Business Development provides ... typically substantial complexity. Responsibilities The Director, Strategy and..

... Genesis Healthcare Marketing and Admissions Director in Colorado Springs Colorado Genesis ... touch through the delivery of high-quality healthcare and everyday compassion! We ... We focus on improving the..

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

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

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

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

... down the path of deploying quality products frequently and rapidly. Although ... technology footprint. Responsibilities The Associate Director, Software Engineering standardizes the quality assurance procedure for software. Oversees .....

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, Operational Effectiveness in Colorado Springs ... strategic priorities. Responsibilities for the Director of Operational Effectiveness (or Director, Strategy Advancement include: Strategy management ... Oversees financial /..

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

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

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