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... the claims processing and financial management functions are outsourced to an ... processing operations and systems. The Director, Claims Oversight plays a vital ... claims operations, claims systems change..
Description Humana's National Medicaid Quality team is seeking a Market ... for supporting individual Medicaid market quality teams and serving as the ... the corporate level National Medicaid Quality team..
Job Information Humana Associate Director, Health Information Management in Phoenix Arizona Description The ... Phoenix Arizona Description The Associate Director, Health Information Management ensures data integrity and quality for our..
Description The Medical Director actively uses their medical background, ... daily work. Responsibilities The Medical Director's work includes computer-based review of ... and possible participation in care management. The clinical..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The Medical Director provides medical..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The Medical Director actively uses..
Description The Medical Director's primary responsibility is the review ... level of care. The Medical Director's work assignments involve moderately complex ... of health. Responsibilities The Medical Director actively uses..
OverviewnThe Director of Emergency Services provides leadership/management oversight responsibilities for the Emergency ... and Pre-Hospital Department to provide quality patient care in an emergent ... Assesses, measures and continuously improves..
Description The Behavioral Health Medical Director responsible for behavioral health care ... operations. The Behavioral Health Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director..
Description The Medical Director actively uses their medical background, ... work. Responsibilities Title: Commercial Medical Director Location: Work At Home - ... weeks. Job Summary The Medical Director's work includes..
Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Phoenix Arizona Description Humana ... Healthy Horizons is seeking a Quality Improvement Program..
... and Risk Adjustment National Medical Director in Phoenix Arizona Description The ... in Phoenix Arizona Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... guidance to ensure physician..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... daily work. Responsibilities The Medical Director provides medical interpretation and decisions ... of services provided by other healthcare..
... Kindred at Home RN Branch Director in Phoenix Arizona The Branch ... in Phoenix Arizona The Branch Director is accountable for managing the ... ensure the following: operational efficiencies,..
... collaborate and inform the case management process, in order to facilitate ... in order to facilitate appropriate healthcare outcomes for members by providing ... through the use of care..
