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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 ..
... Humana Nationwide Medicaid Behavioral Health Quality Lead in Anchorage Alaska Description ... Alaska Description The Behavioral Health Quality Lead will report directly to ... directly to the National Medicaid..
... whether services provided by other healthcare professionals are in agreement with ... training in transitions of care, quality assurance, utilization management and care ... focusing on transitions of care,..
Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - ... Horizons is seeking a Senior Quality Program Delivery Professional who will ... who will manage and support quality improvement..
Description The Data and Reporting Professional II generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The ..
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 Senior Copy Writer in Anchorage Alaska Description Humana's The Hive is looking for a Senior Copy Writer to join the team! The Hive is Humana's in-house agency, a ..
... in support of NFP. CONTINUOUS QUALITY IMPROVEMENT: Initiate activities, which promote ... support department, region and System Quality Improvement plans in compliance with ... built a reputation for high..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Anchorage Alaska Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..
... Humana members to make informed healthcare decisions. Our key goal is ... help our members obtain high quality, affordable healthcare while keeping our provider networks ... (cost) & Effectiveness..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
... population health management, contract compliance, quality improvement, and pilot/value-based payment programs. ... and Responsibilities Lead clinical and quality management components of HGB's Integrated ... with effective implementation of the..
Job Information Humana Senior Innovation Portfolio Strategy Professional in Anchorage Alaska Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives that ..
Job Information Humana Strategy Advisor, Healthcare Strategy in Anchorage Alaska Description ... Alaska Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..
Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Anchorage Alaska Description Humana ... Healthy Horizons is seeking a Quality Improvement Program..
... closing opportunities. Drives improvement of quality outcomes for providers through in-person, ... provide guidance to practice). Prepares quality slide and presents quality, UM, and CM slides at ... about..
... 5 or more years of healthcare policy experience including a track ... research, and resource development supporting healthcare policy and for translating information ... the development of innovative, high..
... health or well-being and improve quality of life. Characterized by a ... to patient safety, autonomy and quality of care based on assessments ... and institutional standards. Collaborate with..
