Director Healthcare Quality Management Jobs

Job Information Humana Medicaid Associate Director, Compliance Nursing in Cincinnati Ohio ... Cincinnati Ohio Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... waste,..

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..

Description The Associate Director, Quality Improvement implements quality improvement programs for all lines ... and annual evaluation. The Associate Director, Quality Improvement requires a solid understanding ... across department(s). Responsibilities..

Description The Director, Quality Improvement implements quality improvement programs for all lines ... plan, and annual evaluation. The Director, Quality Improvement requires an in-depth understanding ... interrelate across departments. Responsibilities..

... with the UC Health academic healthcare system and Cincinnati Children's Hospital ... and Oncology is seeking a Director of Adult Blood & Marrow ... clinical programming. The Adult BMT..

Job Information Humana Medical Director - Texas in Cincinnati Ohio ... Cincinnati Ohio Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

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 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 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..

Job Information Humana Medical Director - S. Florida in Cincinnati ... Cincinnati Ohio Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

... Information Humana Care Team Medical Director in Cincinnati Ohio Description The ... Description The Care Team Medical Director is responsible for improving the ... is responsible for improving the..

Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Cincinnati Ohio Description Humana ... Healthy Horizons is seeking a Quality Improvement Program..

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 ... Business's (HGB) Behavioral Health Medical Director will provide..

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..

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

... Humana Nationwide Medicaid Behavioral Health Quality Lead in Cincinnati Ohio Description ... Ohio Description The Behavioral Health Quality Lead will report directly to ... directly to the National Medicaid..

... directly to the National Medicaid Quality Director, and be responsible for the ... operating model for Behavioral Health Quality, and its integration with Physical ... its integration with Physical..

Job Information Humana Medical Director - Medicare Pharmacy Appeals in ... Cincinnati Ohio Description The Medical Director relies on clinical background and ... Medicare drug requests. The Medical director work..

Job Information Humana Associate Director, Health Information Management in Cincinnati Ohio Description The ... Cincinnati Ohio Description The Associate Director, Health Information Management ensures data integrity and quality for our..

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

Job Information Humana Medical Director - National Medicare Team in ... Cincinnati Ohio Description The Medical Director relies on medical background and ... requests for services. The Medical Director work..

... and Risk Adjustment National Medical Director in Cincinnati Ohio Description The ... in Cincinnati Ohio Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... guidance to ensure physician..