Director Healthcare Quality Management Jobs

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 Medicaid Associate Director, Compliance Nursing in Springfield Missouri ... Springfield Missouri Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... waste,..

... Information Humana Care Team Medical Director in Springfield Missouri Description The ... Description The Care Team Medical Director is responsible for improving the ... is responsible for improving the..

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 - National Medicare Team in ... Springfield Missouri Description The Medical Director relies on medical background and ... requests for services. The Medical Director work..

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

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 ... variable factors Responsibilities The Medical Director actively uses..

... the nations' leading provider of healthcare services from short-term to long-term ... the Genesis team as the Director of Recreation Services where you ... the goal of improving patient/resident's..

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 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 Medical Director - S. Florida in Springfield ... Springfield Missouri Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

Job Information Humana Medical Director - Texas in Springfield Missouri ... Springfield Missouri Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

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

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

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

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 ... improving South Carolina Medicaid clinical quality performance measures to achieve optimal ... to achieve optimal performance and quality for the..

Job Information Humana UM Medical Director - Conviva in Springfield Missouri ... Springfield Missouri Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director..

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 Associate Director, Health Information Management in Springfield Missouri Description The ... Springfield Missouri Description The Associate Director, Health Information Management ensures data integrity and quality for our..

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