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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 Bethesda Maryland Description The ... Bethesda Maryland Description The Associate Director, Health Information Management ensures data integrity and quality for our..
... complex financial information to assist management in evaluating and executing the ... 10. Assists team members and management in developing, enhancing, and maintaining ... support accurate, consistent, efficient, and..
What You Will Do: Director of Psychiatric Services (RN) Full ... Actively seeking candidates for a Director of Nursing (RN) - Psychiatric ... support the achievement of corporate quality and..
Description The Senior Quality Improvement Professional will focus organizational ... improving South Carolina Medicaid clinical quality performance measures to achieve optimal ... to achieve optimal performance and quality for the..
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..
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 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..
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, ... daily work. Responsibilities The Medical Director's work includes computer-based review of ... and possible participation in care management. The clinical..
Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Bethesda Maryland Description Humana ... Healthy Horizons is seeking a Quality Improvement Program..
... Research & Development Lead/Clinical Development Director to join our Early Development ... accountability for scientific and medical quality and timeliness of clinical trial ... pharmacovigilance department to develop Risk..
... general supervision, oversees and coordinates quality reporting and outcomes management of acute and chronic inpatient ... patients. Responsible for coordinating departmental quality improvement activities to ensure consistency ... to..
... . If you haven't considered Healthcare before, read on as we ... as we think you should. Healthcare Experience is NOT required. For ... year after year. As a..
... and Risk Adjustment National Medical Director in Bethesda Maryland Description The ... in Bethesda Maryland Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... guidance to ensure physician..
What You Will Do: Director of Nursing (RN) - Operating ... Actively seeking candidates for a Director of Nursing (RN) - Operating ... support the achievement of corporate quality and..
What You Will Do: Director of Quality & Patient Safety Full Time, ... flexibility a priority. Job Summary Director of Quality & Patient Safety is responsible ... and evaluation of..
POSITION SUMMARY: The Guest Services Director oversees Customer Service, Recreation - ... member of the interdisciplinary and management team; and instructs all staff ... guest's life. The Guest Services Director..
... for Utilization Review, the Utilization Management Coordinator collaborates with members of ... oneself to providing the highest quality healthcare services to the communities we ... Reporting Relationships Reports to..
... seeks to hire an experienced Director of Surgical Operations for our ... mental and spiritual healing. The Director of Surgical Operations oversees all ... the RISES values of Adventist..