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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 Metairie Louisiana Description The ... Metairie Louisiana Description The Associate Director, Health Information Management ensures data integrity and quality for our..
Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Metairie Louisiana Description Humana ... Healthy Horizons is seeking a Quality Improvement Program..
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..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in ... Metairie Louisiana Description The Medical Director relies on clinical background and ... Medicare drug requests. The Medical director work..
Job Information Humana UM Medical Director - Conviva in Metairie Louisiana ... Metairie Louisiana Description The Medical Director relies on medical background and ... reviews health claims. The 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..
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..
Description The Medical Director actively uses their medical background, ... work. Responsibilities Job Title: Medical Director Location: Work At Home Schedule: ... 15 weeks Description The Medical Director's work includes..
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 relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors Responsibilities The Medical Director actively uses..
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 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 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..
... and Risk Adjustment National Medical Director in Metairie Louisiana Description The ... in Metairie Louisiana Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... guidance to ensure physician..
Job Information Humana Director, Quality Improvement in Metairie Louisiana Description ... in Metairie Louisiana Description The Director, Quality Improvement implements quality improvement programs for all lines ... plan, and annual..
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..
