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Job Information Humana Medicaid Associate Director, Compliance Nursing in Montpelier Vermont Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..
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 Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... Montpelier Vermont 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..
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 Quality Improvement Coordinator in Montpelier Vermont Description ... Montpelier Vermont Description The Quality Improvement Coordinator 3 assists in administering ... in administering and monitoring quality improvement and..
... productivity and quality standards. This leader must have the ability to ... Develop plan of action for process improvement. Participate in the promotion of ... the promotion of the..
... 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..
... Coordinator (RN) manages the overall process and tracking of all Medicare/Medicaid ... 1.4 Directs the interdisciplinary team process to communicate opportunities to ensure ... facilitation of the care planning..
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 Montpelier ... identifying an experienced and influential leader to join our team in ... the role of AVP, Quality..
... Information Humana RN, Senior Stars Improvement, Clinical Professional in Montpelier Vermont ... seeking a RN, Senior Stars Improvement, Clinical Professional who will be ... Stars Program. The Senior Stars..
... 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..
POSITION SUMMARY:Working under the direction of the Director of Nursing or RN designee, the LPN Nurse Practice Educator functions as a practitioner, consultant, educator and facilitator for all nursing staff focusing ..
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 Oncology Market Director in Montpelier Vermont Description The Market Director, Oncology leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' prescriptions to Humana ..
... 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..
Job Information Humana Associate Director, Health Information Management in Montpelier Vermont Description The Associate Director, Health Information Management ensures data integrity and quality for our encounter submissions systems. The Associate Director, ..
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..
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..
... 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,..
... 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..
... 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..