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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 Tampa Florida Description The ... Tampa Florida Description The Associate Director, Health Information Management ensures data integrity and quality for our..
Job Information Humana Director, Care Management in Tampa Florida Description The ... in Tampa Florida Description The Director of Care Management provides oversight to ensure the ... Term Services and..
... and Risk Adjustment National Medical Director in Tampa Florida Description The ... in Tampa Florida 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 ... variable factors. Responsibilities The Medical Director provides medical..
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 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 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..
Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Tampa Florida 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 actively uses..
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..
... Humana is seeking an Associate Director, Quality Compliance Nursing that works with ... highest accountability of compliance and quality. The Associate Director, Quality Compliance Nursing requires a solid .....
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 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..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in ... Tampa Florida Description The Medical Director relies on clinical background and ... Medicare drug requests. The Medical director work..
Job Information Humana RN, Associate Director, Utilization Management (Long Term Care) in New ... is seeking a RN, Associate Director of Utilization Management for Long Term Care who ... for..
... 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..
