Healthcare Quality Analyst Jobs in Troy

Description The Senior Medicaid Quality Data and Reporting Analyst generates ad hoc reports and ... factors. Responsibilities The Senior Medicaid Quality Data and Reporting Analyst will be responsible for the..

Description The Principal Quality Leader will lead testing and ... Leader will lead testing and quality collaboration between Business and IT, ... tools and assure adherence to quality standards. Serves..

... Humana Nationwide Medicaid Behavioral Health Quality Lead in Troy Michigan Description ... Michigan Description The Behavioral Health Quality Lead will report directly to ... directly to the National Medicaid..

Description As a Data and Reporting Analyst, you will be responsible for generating reports and regular datasets for the Primary Care Organization (PCO) related to new patient growth. The Data and ..

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 Oncology Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization, with a focus on oncology requests. The Oncology ..

... HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional ... HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional ... guidelines/procedures. Primary responsibilities for the..

Job Information Humana Healthcare Strategy Consultant in Troy Michigan ... in Troy Michigan Description The Healthcare Strategy Consultant provides data-based strategic ... Responsibilities Humana, a Fortune 60 Healthcare Company Humana..

Job Information Humana Senior Copy Writer in Troy Michigan 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 ..

... Humana Lead Product Manager - Healthcare API in Troy Michigan Description ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..

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 The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..

... 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..

Job Information Humana Senior Innovation Portfolio Strategy Professional in Troy Michigan Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives that ..

... 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 Strategy Advisor, Healthcare Strategy in Troy Michigan Description ... Michigan Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..

... Information Humana Associate Vice President, Quality Improvement for Healthy Horizons in ... in the role of AVP, Quality Improvement for Healthy Horizons. Decisions ... related to accreditation, auditing and..

Description The Associate Director, Clinical Pharmacy 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, ..

Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Troy Michigan Description Humana ... Healthy Horizons is seeking a Quality Improvement Program..

Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives that maximize customer value to create a differentiated value proposition for Humana ..

... 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..

Description The Director, Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking and forecasting, supports financial sales analysis and market event news. This position will work and collaborate with ..

Description The Senior Quality Improvement Professional will focus organizational ... improving South Carolina Medicaid clinical quality performance measures to achieve optimal ... to achieve optimal performance and quality for the..