Healthcare Operations Jobs in Springfield

Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..

Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..

Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. ..

... in Springfield Missouri Description The Healthcare Quality Reporting & Improvement (HQRI) ... to Humana's national planning and operations for Risk Adjustment, Stars, and ... national provider education strategy and..

Description The Network Operations Coordinator 4 maintains provider relations ... provider data needed for service operations. The Network Operations Coordinator 4 assumes ownership and ... and judgment. Responsibilities The Network..

Job Information Humana Medicare/Medicaid Program Manager -- Remote in Springfield Missouri Description Humana's Enterprise Shared Services organization is seeking an outstanding cross-functional program leader to join its Business Management team. This ..

... Advisor - Medicaid Provider Service Operations in Springfield Missouri Description The ... Advisor - Medicaid Provider Service Operations provides support to assigned health ... to Medicaid Group product implementation,..

... and execute strategic transformation. 'Strategy Operations' is one of a three ... Strategy Planning functions. The Strategy Operations team provides consulting services to ... the other teams in Strategy..

... team including responsibility for standard operations and evidence-based medicine to meet ... body.Experience: Required: 5 years of Healthcare experience in clinical dietetics and/or ... an essential function of this..

Description The Healthcare Financial Analyst collects, analyzes, and ... Central Region is seeking a Healthcare Financial Analyst to partner closely ... leadership and external exposure with healthcare providers in OH,..

Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Springfield Missouri Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..

Job Information Humana Network Operations Lead - Behavioral Health/Medicaid in ... Springfield Missouri Description The Network Operations Lead maintains provider relations to ... claims data needed for service operations. The..

Job Information Humana VP, Clinical Operations in Springfield Missouri Description VP, ... Springfield Missouri Description VP, Clinical Operations and Chief Clinical Officer of ... of the Home Health clinical operations...

Job Information Humana Senior Strategy & Program Development Professional (Remote) in Springfield Missouri Description Responsibilities Humana's Corporate Marketing team is looking for a Senior Strategy & Program Development Professional to join ..

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 ..

Description The Senior Compensation Professional develops, implements, and administers compensation programs. The Senior Compensation Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Job Information Centerwell Nurse Practitioner, Implementation and Training Team in Springfield Missouri Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's ..

Description The Remote Systems Clinical Pharmacist will provide excellent customer service to both internal and external customers by developing and maintaining relationships with Account / Clinical Management and PCO-IPU Operations teams. ..

Job ID 21000L1UAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..

Description The Network Operations Coordinator 4 maintains provider relations ... provider data needed for service operations. The Network Operations Coordinator 4 assumes ownership and ... for well-being Responsibilities The Network..

Job Description Summary: Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we help people on ..

... the advancement of Medicaid Clinical Operations and Programs. Responsibilities Responsibilities of ... a clinical environment or within healthcare operations 5 or more years Healthcare or Managed Care leadership experience,..

... with physicians, other nurses and healthcare professionals to provide care, monitor ... medical equipment, perform minor medical operations, and advise patients and their ... is a national leader in..