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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 Associate Director, Quality Assurance for Humana/Your Home Advantage (YHA) develops and implements programs to establish and maintain quality standards of existing products and services pertaining to In Home Wellness ..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
... & 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 Brentwood Tennessee ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
Organization: EVS Discharge Team - Admin Job Summary: JOB SUMMARY Responsible for assisting in the management and coordination of the day to day operations of the department. Supervise staff and supervisors, ..
Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..
Job Information Centerwell RN Clinical Manager in Kingsport Tennessee The Clinical ... in Kingsport Tennessee The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the QA/PI..
Description The Manager, Software Engineering codes software applications ... based on business requirements. The Manager, Software Engineering works within specific ... schedules and goals. Responsibilities The Manager, Software Engineering standardizes..
Details Salary: From $31.00/hour Department: Risk Management and Compliance Schedule: Full Time, Day Shift Facility: Alexian Village of Tennessee Location: Signal Mountain, TN Benefits Paid time off (PTO)Various health insurance options ..
... a strong rapport with the healthcare consumer, host and community. Represent ... relationship with collaborating physicians, other healthcare providers, educational institutions and professional ... technicians to provide high-quality, convenient..
Job Information Humana Bilingual Quality Auditor in Brentwood Tennessee Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..
Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in Brentwood Tennessee Description Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be responsible for the end ..
... Kindred at Home RN Clinical Manager Home Health Full Time in ... in Nashville Tennessee The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the..
Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for Humana ..