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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 Phoenix Arizona Description The ... Phoenix Arizona 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..
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..
... looking for an RN Associate Director to support the Trauma & ... sustain our excellent experience, strong quality outcomes, and effective resource utilization. ... surgery - to provide high..
Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Phoenix Arizona 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 ... Responsibilities Job Profile 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..
... patient's needs. As Associate RN Director, you will lead a team ... in order to ensure high quality, safe, and cost effective care ... depth and breadth of clinical..
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..
... and science of patient care, quality and safety. Our ED has ... Level I) As a Associate Director RN for the Trauma Level ... will be leading a high..
... chemical dependency needs. The Associate Director oversees the leadership of clinical, ... of clinical, financial, and personnel management of the assigned areas. Serves ... provide safe, cost effective and..
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..
... and Risk Adjustment National Medical Director in Phoenix Arizona Description The ... in Phoenix Arizona Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... guidance to ensure physician..
... Kindred at Home RN Branch Director in Phoenix Arizona The Branch ... in Phoenix Arizona The Branch Director is accountable for managing the ... ensure the following: operational efficiencies,..
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..
