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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 Medicaid Associate Director, Compliance Nursing in Washington District ... Of Columbia Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... waste,..
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 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 - Medicare Pharmacy Appeals in ... Of Columbia Description The Medical Director relies on clinical background and ... Medicare drug requests. The Medical director work..
Job Information Humana Medical Director - Texas in Washington District ... Of Columbia Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..
Job Information Humana Medical Director - National Medicare Team in ... Of Columbia Description The Medical Director relies on medical background and ... requests for services. The Medical Director work..
Job Information Humana UM Medical Director - Conviva in Washington District ... Of Columbia Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director..
Job Information Humana Medical Director - S. Florida in Washington ... Of Columbia Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..
... Job Description Summary The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Description The Medical..
... Certified Pediatric Dental Residency Program Director. He/she will be responsible for ... dental residency program including the management of the resident's clinical, didactic ... requirements, programmatic outcome measures with..
Description The Senior Nursing Quality Outcomes Coordinator will partner with ... Coordinator will partner with Hospital Quality, Safety, Regulatory and Hospital Risk ... Nursing to oversee or lead quality improvement..
... and Risk Adjustment National Medical Director in Washington District Of Columbia ... District Of Columbia Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... guidance to ensure physician..
... Humana Nationwide Medicaid Behavioral Health Quality Lead in Washington District Of ... Columbia Description The Behavioral Health Quality Lead will report directly to ... directly to the National Medicaid..
Job Information Humana Medical Director - Florida Medicaid in Washington ... Of Columbia Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..
Director - Ambulatory Transformation (EVERGREEN)','2300016R','!*!The Director of Ambulatory Transformation (AT) reports ... reports directly to the Executive Director, Ambulatory Services, CNH and collaborates ... roadmap of Ambulatory Transformation. The 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..
Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Washington District Of Columbia ... Healthy Horizons is seeking a Quality Improvement Program..
Job Information Humana Associate Director, Health Information Management in Washington District Of Columbia ... Of Columbia Description The Associate Director, Health Information Management ensures data integrity and quality for our..
... Information Humana Care Team Medical Director in Washington District Of Columbia ... Description The Care Team Medical Director is responsible for improving the ... is responsible for improving the..
