Vendor Quality Medical Director Jobs in San Antonio

... 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..

... Care Solutions is seeking a Director of Risk Adjustment for the ... strategies to implement Support the quality assurance, HEDIS and Stars company's ... communication with team and Area..

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 Medical Director - National Medicare Team in ... San Antonio Texas Description The Medical Director relies on medical background and reviews preauthorization requests ... preauthorization requests for..

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

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

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

Job Information Humana Associate Medical Director- Conviva Care-San Antonio, TX in ... for all. Responsibilities The Associate Medical Director has similar job duties as ... and disease prevention. The Associate..

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

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, Pharmacy Clinical Trend and Pipeline in San Antonio Texas Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the ..

Job Information Humana Director, Strategy and Business Development for ... San Antonio Texas Description The Director, Strategy and Business Development provides ... typically substantial complexity. Responsibilities The Director, Strategy and..

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

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

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

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

Job Information Humana Associate Director, Site Reliability Engineering in San ... Antonio Texas Description The Associate Director, Site Reliability Engineering maintains, integrates ... within the organization. The Associate Director, Site..

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

Job Information Humana Associate VP, Quality Improvement in San Antonio Texas ... Antonio Texas Description The AVP, Quality Improvement and Performance will develop, ... maintain performance under HGB's Clinical Quality..

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

Job Information Humana Director, Care Delivery and EMR/EHR Technology ... San Antonio Texas Description The Director, Technology Solutions devises an effective ... and the core EMR/EHR. The Director, Technology Solutions..

... Humana Associate VP, Health Plan Quality Improvement and Performance in San ... towards value-based relationships and/or improved quality metrics. The Associate VP, requires ... and/or enterprise-wide. Responsibilities The AVP,..

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..