Vendor Quality Medical Director Jobs in Louisville

... 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 - National Medicare Team in ... in Louisville Kentucky Description The Medical Director relies on medical background and reviews preauthorization requests ... preauthorization requests for..

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

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

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

Job Information Humana Corporate Medical Director, Healthcare Quality Reporting & Improvement in Louisville ... Louisville Kentucky Description The Corporate Medical Director for Healthcare Quality Reporting and Improvement (HQRI) relies .....

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

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..

Description The Director HEDIS Production and Quality Analytics takes the lead in ... in driving success for key quality measures development and analytic reporting ... that support Humana Military clinical..

Job Information Humana Director of Public Policy in Louisville ... in Louisville Kentucky 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 Louisville Kentucky 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 Louisville ... in Louisville Kentucky Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..

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..

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

Job Information Humana Director, Behavioral Health Strategy in Louisville ... in Louisville Kentucky 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 Louisville Kentucky Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the clinical ..

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

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

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

Job Information Humana Director, I.T. Strategy Advancement in Louisville ... in Louisville Kentucky Description The Director, IT Strategy Advancement is responsible ... organizational strategies and priorities. The Director will work..

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