Vendor Quality Medical Director Jobs in Las Vegas

... 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 Las Vegas Nevada Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the ..

Job Information Humana Director, Strategy and Business Development for ... Las Vegas Nevada Description The Director, Strategy and Business Development provides ... typically substantial complexity. Responsibilities The Director, Strategy and..

Job Information Humana Associate Director, Site Reliability Engineering in Las ... Vegas Nevada 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..

... 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 .....

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 - Florida Medicaid in Las ... Las Vegas Nevada Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..

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

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

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

Job Information Humana Quality Engineering Associate Director - Emerging Technologies in Las ... technical transformation? As the Associate Director of Emerging Technologies, you will ... with enterprise-wide impacts. The Associate..

Job Information Humana Associate Director - Vendor Retrieval Operations in Las Vegas ... Vegas Nevada Description The Associate Director, Program Delivery strategically identifies, develops, ... towards value-based relationships and/or improved..

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

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

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

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

Job Information Humana Medical Director - Texas in Las Vegas ... Las Vegas Nevada Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..

Job Information Humana Associate Director, Health Equity and Community Engagement ... and Community Engagement (HECE) Associate Director is responsible for improving the ... is responsible for improving the quality of..

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

Job Information Humana Director, Operational Effectiveness in Las Vegas ... 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 ... Las Vegas Nevada Description The Director, Technology Solutions devises an effective ... and the core EMR/EHR. The Director, Technology Solutions..