Director Jobs in Rhode Island

Description The Director, Process Improvement analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Director, Process Improvement requires an in-depth understanding ..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Newport Rhode ... Rhode Island Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..

Description The Director, Provider Reimbursement is responsible for the leadership, strategy development and execution of Humana Military's provider reimbursement methodologies. This leader is responsible for timely and accurate implementation of Government ..

Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..

Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Newport Rhode Island Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the ..

Job Information Humana Director, Informatics in Newport Rhode Island ... Newport Rhode Island Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..

Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides managed Medicaid health insurance. Requires an ..

Job Information Humana Director, State Public Policy in Newport Rhode Island Description The Director of State Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public ..

Job Information Humana Director, Medicaid Strategic Solutions in Newport Rhode Island Description Humana Medicaid is seeking exceptional candidates to join our Medicaid Product Strategy & Optimization Organization in order to support ..

Description Humana is a Fortune 60 healthcare company with a history of successful innovation and reinvention, with over 50 years as a proven leader and innovator in the health and wellness ..

Job Information Humana Director, Contract Tools, Education, Processes (remote ... Newport Rhode Island Description The Director, Contract Tools, Education, Processes manages ... best in class knowledge. The Director, Contract Tools,..

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..

Job Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) in Newport Rhode Island Description The Director, Behavioral Health (BH) Network and Market Strategy will insure that the appropriate providers ..

Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... daily work. Responsibilities The Medical Director provides medical interpretation and decisions ... Summary The Behavioral Health Medical Director's..

Description The Director, Corporate Communications develops and coordinates lines of communication outside the department. The Director, Corporate Communications requires an in-depth understanding of how organization capabilities interrelate across the function or ..

Description Humana is seeking an experienced management professional to lead an interactive team with broad exposure and scope within Humana. This position will work and collaborate with leaders across the Humana ..

Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Newport Rhode Island Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that ..

Grand Islander is now hiring for a Weekend DON - 7p Friday to 7a Monday Genesis is one of the nations' leading provider of healthcare services from short-term to long-term care ..

Job Information Humana Director of Public Policy in Newport Rhode Island Description The Director of Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public policy ..

Description The Director of Product Management for Clinical Pharmacy Products develops and evaluates new product ideas, enhance existing products or strategic product extensions, and translates research discoveries into marketable products. This ..

Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides health insurance. Requires an in-depth understanding of ..

Job Information Humana Director, Behavioral Health Strategy in Newport Rhode Island Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care ..

Description The Director, Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking and forecasting, supports financial sales analysis and market event news. This position will work and collaborate with ..