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... 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..
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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 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 - Medicare Pharmacy Appeals in ... Las Vegas Nevada Description The Medical Director relies on clinical background and ... reviews Medicare drug requests. The Medical..
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..
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 UM Medical Director - Conviva in Las Vegas ... Las Vegas Nevada Description The Medical Director relies on medical background and reviews health claims. ... and reviews..
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, Strategy and Business Development for ... Las Vegas Nevada Description The Director, Strategy and Business Development provides ... typically substantial complexity. Responsibilities The Director, Strategy and..
... Experience & Business Process, the Director, Associate User Experience plays a ... where the two connect/overlap. The Director leads the design of on-property ... & Innovation leadership team, the..
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..
Job Information Under Armour, Inc. Director, Global Technology Quality Assurance (REMOTE) in Carson City ... (REMOTE) in Carson City Nevada Director, Global Technology Quality Assurance (REMOTE) Date: May 12, .....
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 - 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, Site Reliability Engineering in Las ... Vegas Nevada Description The Associate Director, Site Reliability Engineering maintains, integrates ... within the organization. The Associate Director, Site..
... 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..
... Type Management JOB SUMMARY The Director, Experience Design & Innovation is ... solution and solve problems. Reviews vendor proposals and selects appropriate vendor for services/technologies/hardware. Thinks creatively and .....
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, Behavioral Health Strategy in Las ... Las Vegas Nevada Description The Director, Behavioral Health (DBH) will ensure ... Healthy Horizons have access to quality care for..
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 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 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..