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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..
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..
... 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 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 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 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..
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..
... 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 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 RN, Associate Director, Utilization Management (Long Term Care) in Winter ... is seeking a RN, Associate Director of Utilization Management for Long Term Care who ... for..
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 RN, Associate Director, Utilization Management (Long Term Care) in Plant ... is seeking a RN, Associate Director of Utilization Management for Long Term Care who ... for..
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..
... 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..
Description Director Physician Services Location Address: Winter ... assist them in performing personnel management activities, including merit increases, promotions, ... infection control, medical records, and quality assurance efforts. Ensure compliance..
