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Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..
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 Associate Director, Quality Assurance for Humana/Your Home Advantage (YHA) ... programs to establish and maintain quality standards of existing products and ... Wellness Assessments. The Associate Director, Quality..
... Kindred at Home RN Clinical Manager in Dothan Alabama The Clinical ... in Dothan Alabama The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
... Kindred at Home RN Clinical Manager in Phenix City Alabama The ... Phenix City Alabama The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of..
... 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..
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..
... Kindred at Home Rn Clinical Manager in Foley Alabama The Clinical ... in Foley Alabama The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of..
Job Information Humana Technical Product Manager - Remote in Birmingham Alabama ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Birmingham Alabama Description Humana ... Healthy Horizons is seeking a Quality Improvement Program..
... Kindred at Home RN Clinical Manager Home Health Full Time in ... in Florence Alabama The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of..
Description The Manager, Risk Adjustment oversees coding educators ... Adjustment oversees coding educators and quality assurance audits of medical records and ... and Medicaid Services (CMS). The Manager, Risk Adjustment..
Job Information Centerwell RN Clinical Manager in Hoover Alabama The Clinical ... in Hoover Alabama The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of quality..
... Kindred at Home RN Clinical Manager in Pike Road Alabama The ... Pike Road Alabama The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of..
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 Vendor Quality Medical Director will manage clinical ... Director will manage clinical vendor quality outcomes for Humana Clinical Operations ... Director to manage clinical vendor quality outcomes for..
Description The Manager, Compliance Nursing reviews utilization management ... fraud, waste, and abuse. The Manager, Compliance Nursing works within specific ... schedules and goals. Responsibilities The Manager, Compliance Nursing ensures..
... Kindred at Home RN Clinical Manager Home Health Full Time in ... Sign On Bonus!!! The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of..