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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 ..
... Humana is a Fortune 60 healthcare company with a history of ... top place to work in healthcare, especially in areas of Diversity ... a personalized, seamless and easy..
Job Information Humana Medicaid Associate Director, Compliance Nursing in San Juan ... Puerto Rico Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
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 fundamentals of CMS ... per diem requests. The Medical Director provides medical interpretation and determinations ... whether services provided by other healthcare professionals are..
Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical Director provides medical interpretation and determinations ... whether services provided by other healthcare professionals are..
Description The Associate Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
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 actively uses their medical background, ... daily work. Responsibilities The Medical Director's work includes computer-based review of ... within their scope. The Medical Director may speak..
Description The Director, Provider Reimbursement is responsible for ... team of associates. Responsibilities The Director, Provider Reimbursement develops and executes ... collaboration with other leaders, this Director will develop and..
... members' lives. Reporting to the Director, you will have the opportunity ... of our members. The Associate Director, Technology Solutions devises an effective ... IT business initiatives. The Associate..
Responsibilities First Hospital Panamericano , es un centro de salud de primer nivel que ofrece tratamiento individualizado de salud mental y de adicción para adultos en un entorno seguro y privado. ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in ... Puerto Rico Description The Medical Director relies on clinical background and ... Medicare drug requests. The Medical director work..
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 ..
Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to solve for the healthcare challenges of today. The Clinical Analytics and Trend team uses advanced scientific techniques, ..
Job Information Humana Medical Director - Texas in San Juan ... Puerto Rico Description The Medical Director actively uses their medical background, ... daily work. Responsibilities The Medical Director's work..
Description The Associate Director, Full Stack Engineering Performs software ... at the front-end. The Associate Director, Full Stack Engineering requires a ... for one of the leading healthcare organizations. Reporting..
