Vendor Quality Medical Director Jobs in Green Bay

... 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 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 Director, Pharmacy Clinical Trend and Pipeline in Green Bay Wisconsin Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the ..

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 Associate Director, Site Reliability Engineering in Green ... Bay Wisconsin Description The Associate Director, Site Reliability Engineering maintains, integrates ... within the organization. The Associate Director, Site..

Job Information Humana Medical Director - Texas in Green Bay ... Green Bay Wisconsin Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..

Job Information Humana Director, Population Health Strategy in Green ... Green Bay Wisconsin Description The Director, Population Health Strategy is responsible ... is responsible for improving the quality of care..

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

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

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 - Medicare Pharmacy Appeals in ... Green Bay Wisconsin Description The Medical Director relies on clinical background and ... reviews Medicare drug requests. The Medical..

Job Information Humana Director, Strategy and Business Development for ... Green Bay Wisconsin Description The Director, Strategy and Business Development provides ... typically substantial complexity. Responsibilities The Director, Strategy and..

... iCare is seeking an Associate Director, Medicaid Care Management who will ... SSI Medicaid programs. The Associate Director, Medicaid Care Management role requires ... across departments. Responsibilities The Associate..

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

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

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

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

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

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

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

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

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 - S. Florida in Green ... Green Bay Wisconsin Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..