Vendor Quality Medical Director Jobs in Pittsburgh

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

Job Information Humana Medical Director - S. Florida in Pittsburgh ... in Pittsburgh Pennsylvania 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 Director, State Public Policy in Pittsburgh ... in Pittsburgh Pennsylvania Description The Director of State Public Policy role ... the development of innovative, high quality government healthcare..

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

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

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

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

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 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, Care Delivery and EMR/EHR Technology ... in Pittsburgh Pennsylvania Description The Director, Technology Solutions devises an effective ... and the core EMR/EHR. The Director, Technology Solutions..

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

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

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

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

... Stars and Risk Adjustment National Medical Director in Pittsburgh Pennsylvania Description The ... Pittsburgh Pennsylvania 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..

... purpose and function of the Director Veterinary Quality is to ensure care delivered ... hospitals meet industry and Banfield quality standards. This position partners with ... partners with Vice..

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

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

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