Vendor Quality Medical Director Jobs in Maryland

... 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 Bethesda Maryland Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the clinical ..

Sr. Director, Site Reliability Engineering Date: Sep ... risk exposure, and interdependencies Manages vendor relationships to ensure continuous innovation ... adherence to SLAs and overall quality. Establishes paths to customer..

Director, Platform Engineering Date: Sep 15, 2022 Location: Remote, US Company: Under Armour Under Armour has one mission: to make you better. We have a commitment to innovation that lies at ..

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

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

What You Will Do: General Summary Under guidance of the VP of Total Rewards, designs the planning and administration of comprehensive and competitive Compensation programs that support the objective of achieving ..

... patient service revenue. The Sr. Director of Patient Financial Services has ... goal, and targets for the Medical Center, Kernan and USH's Patient ... rejection rates, census , coder..

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

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

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 ... in Bethesda Maryland Description The Medical Director relies on clinical background and ... reviews Medicare drug requests. The Medical..

Job Information Under Armour, Inc. Director, Global Technology Quality Assurance (REMOTE) in Annapolis Maryland ... Assurance (REMOTE) in Annapolis Maryland Director, Global Technology Quality Assurance (REMOTE) Date: May 12, .....

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

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

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..

... Team seeks an exceptional Senior Director of Data Engineering to help ... our platform, which provides accessible, high-quality education to a global audience! ... agile planning and delivery Manage..

What You Will Do: General Summary Under guidance of the VP of Total Rewards, designs the planning and administration of comprehensive and competitive Health & Welfare and Retirement programs that support ..

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

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

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

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