Director Healthcare Quality Management Jobs

... 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..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Indianapolis Indiana ... Indianapolis Indiana 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..

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

Job Information Humana Medical Director - Texas in Indianapolis Indiana ... Indianapolis Indiana 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 Senior Quality Improvement Professional will focus organizational ... (BH)/Substance Use Disorder (SUD) clinical quality performance measures to achieve optimal ... to achieve optimal performance and quality for the..

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

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..

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..

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

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

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

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

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

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

Description The Senior Quality Improvement Professional will focus organizational ... on improving Kentucky Medicaid clinical quality performance measures to achieve optimal ... to achieve optimal performance and quality for the..

Job Information Humana UM Medical Director - Conviva in Indianapolis Indiana ... Indianapolis Indiana 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..

... Information Humana Care Team Medical Director in Indianapolis Indiana Description The ... Description The Care Team Medical Director is responsible for improving the ... is responsible for improving the..

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 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..