Vendor Quality Medical Director Jobs in Phoenix

... 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..

BenefitsIncentive compensation planNursing Student Loan Debt Repayment and Tuition AssistanceHealth, Dental, Vision, Company-paid life insurance, 401K, Paid Time OffDiverse, Equitable and Inclusive (DEI) workplace with DEI committee. DEI is a part ..

Job Information Humana Director, Behavioral Health Strategy in Phoenix ... in Phoenix Arizona 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..

... 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..

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 - Medicare Pharmacy Appeals in ... in Phoenix Arizona Description The Medical Director relies on clinical background and ... reviews Medicare drug requests. The Medical..

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

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

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 ... in Phoenix Arizona Description The Medical Director relies on medical background and reviews preauthorization requests ... preauthorization requests for..

... Stars and Risk Adjustment National Medical Director in Phoenix Arizona Description The ... Phoenix Arizona 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 Phoenix ... in Phoenix Arizona Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..

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

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

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

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

Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Phoenix Arizona Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the clinical ..

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 - S. Florida in Phoenix ... in Phoenix Arizona Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..