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Description The Senior Quality Assurance, Clinical Professional requires being both a nurse/RN and a certified Coder nurse as this position will be cross trained to review DRG (Diagnosis Related Group) audits ..
Description The Director, QOCA Strategy - serves as the strategic leader in resource utilization; budget and MER oversight; vendor oversight; and for clinician and non-clinician flex associates and off-shore vendor associates ..
Description The Senior Medicaid Quality Data and Reporting Analyst generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and ..
Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - Remote, US in Dover Delaware Description Humana Healthy Horizons is seeking a Senior Quality Program Delivery Professional who will manage and ..
... & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US ... & Risk Management Quality Audit (QA) Risk Management Professional 2, you ... for executing the Compliance Oversight..
Job Information Humana Technical Product Manager - Remote in Dover Delaware Description The Senior Product Management Professional/Technical Product Manager (TPM) must be able to lead, plan and track all phases of ..
Description This position is for Enclara Pharmacia, a Humana company. Enclara, is a wholly owned hospice and palliative care pharmacy business acquired by Humana in 2021. Enclara is the nation's largest ..
Job Information Humana UM Medical Director - Conviva in Dover Delaware Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
... in the fast-paced industry of healthcare, we offer our associates career ... impact on the future of healthcare, Humana has the right opportunity ... on analysis above) Work with..
Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in Dover Delaware Description Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be responsible for the end ..
