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Job Information Humana Medicaid Associate Director, Compliance Nursing in Newport Rhode Island Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and ..
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 ..
... Humana is a Fortune 60 healthcare company with a history of ... 50 years as a proven leader and innovator in the health ... top place to work in..
... 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 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 ..
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..
... 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,..
... questions related to efficiencies and process improvements. This role may also ... Data Analysis Effectiveness Measurement Business Process Improvements Business Process Consulting Decision Making Process Management Problem Solving Producing..
... any undisclosed negative findings • Process malpractice insurance verification requests according ... update data base accordingly • Process Name changes according to Minute ... changes • Make recommendations for..
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 ..
... 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,..
Job Information Humana Associate Director, Health Information Management in Newport Rhode Island Description The Associate Director, Health Information Management ensures data integrity and quality for our encounter submissions systems. The Associate ..
Job Information Humana Oncology Market Director in Newport Rhode Island Description The Market Director, Oncology leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' prescriptions to ..
... 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 Newport Rhode Island ... Rhode Island Description The Quality Improvement Coordinator 3 assists in administering ... in administering and monitoring quality improvement and..
... Information Humana RN, Senior Stars Improvement, Clinical Professional in Newport Rhode ... seeking a RN, Senior Stars Improvement, Clinical Professional who will be ... Stars Program. The Senior Stars..
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..
... Humana Associate Vice President, Quality Improvement for Healthy Horizons in Newport ... identifying an experienced and influential leader to join our team in ... the role of AVP, Quality..
... 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..
... 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..
... 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..
Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... Rhode Island Description The Senior Process Improvement Professional analyzes, and measures the ... sustainable, repeatable and..
... 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..
