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Job Information Humana Medicaid Associate Director, Compliance Nursing in Bethesda Maryland Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..
Description The Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or ..
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 ..
Job Information Humana Oncology Market Director in Bethesda Maryland Description The Market Director, Oncology leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' prescriptions to Humana ..
... Qualifications 3-5 years of relevant healthcare industry experience (i.e. EDI, provider ... experience with project management/agile methodologies, process improvement or process design and implementation Strong written ... job as..
... CarePlus departments Leads implementation of process improvement initiatives based on data analysis ... regarding training, improving outcomes, and process efficiencies. Completes medical necessity and ... As part of our..
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 ..
... of progressive experience leading continuous improvement efforts, evaluating existing systems and ... evaluating existing systems and implementing process improvements. Excellent communication skills with ... As part of our hiring..
Job Information Humana Quality Improvement Coordinator in Bethesda Maryland Description ... Bethesda Maryland Description The Quality Improvement Coordinator 3 assists in administering ... in administering and monitoring quality improvement and..
... Florida is seeking a STARS Improvement Professional 2 who will develop, ... They will direct all quality improvement programs and initiatives. The STARS ... programs and initiatives. The STARS..
... Humana Associate Vice President, Quality Improvement for Healthy Horizons in Bethesda ... identifying an experienced and influential leader to join our team in ... the role of AVP, Quality..
... file submission and its registration process, under the leadership and direction ... . You will support internal process improvement activities and initiatives involving coordination ... paramount importance. As a..
Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. The National Medicaid Director of ..
Job Information Humana Associate Director, Health Information Management in Bethesda Maryland Description The Associate Director, Health Information Management ensures data integrity and quality for our encounter submissions systems. The Associate Director, ..
... the mission of a leading healthcare company committed to improving the ... possess working knowledge of contemporary healthcare technologies and have a proven ... of academic achievement 8 years..
Description The Manager, STARS Improvement develops, implements, and manages oversight ... position will manage the Stars improvement team. Responsibilities The Manager, STARS ... team. Responsibilities The Manager, STARS Improvement develops..
... Information Humana RN, Senior Stars Improvement, Clinical Professional in Bethesda Maryland ... seeking a RN, Senior Stars Improvement, Clinical Professional who will be ... Stars Program. The Senior Stars..
... Director, Contract Tools, Education and Process for Network Language Resource Group ... implemented. Supports PPS with operational improvement initiatives and oversight. Required Qualifications ... Qualifications Bachelor's Degree in Business,..
... Responsibilities The Project Manager, Financial Healthcare Advisor manages all aspects of ... to 5 years of technical healthcare experience Exceptional oral and written ... Master's Degree in Business, Finance,..
... cost of care. The Senior Process Improvement Professional analyzes, and measures the ... sustainable, repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work assignments involve moderately..
Description The Process Improvement Lead analyzes, and measures the ... sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems of ... will lead a team..
Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... Bethesda Maryland Description The Senior Process Improvement Professional analyzes, and measures the ... sustainable, repeatable and..
Job Information Humana Healthcare Services Senior Learning Design Professional-Remote ... variable factors. Responsibilities The HCS (Healthcare Services) Learning and Curriculum Senior ... proficiency testing, and job performance improvement. Provides instruction..
