Vendor Quality Medical Director Jobs in Metairie

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

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

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

Job Information Humana Medical Director - S. Florida in Metairie ... in Metairie Louisiana 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..

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

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

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

Job Information Humana Director, Data Analytics and Digital Technologies ... 43,000 employees who delivery high quality, compassionate care to over 550,000 ... processes across all functions. The Director, Data Analytics..

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

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

Job Information Humana Medical Director - National Medicare Team in ... in Metairie Louisiana 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 Metairie Louisiana Description The Medical Director relies on clinical background and ... reviews Medicare drug requests. The Medical..

Job Information Humana Director, Strategy and Business Development for ... in Metairie Louisiana Description The Director, Strategy and Business Development provides ... typically substantial complexity. Responsibilities The Director, Strategy and..

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

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 Director, Care Delivery and EMR/EHR Technology ... New Orleans Louisiana Description The Director, Technology Solutions devises an effective ... and the core EMR/EHR. The Director, Technology Solutions..

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

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

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 Medical Director - Florida Medicaid in Metairie ... in Metairie Louisiana Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..