Healthcare Quality Assurance Manager Jobs in Alpharetta

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 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 ..

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..

... support functions. Ensures provision of quality patient care in accordance with ... activities related to the Continuous Quality Assurance Improvement, patient retention and Clinical ... service, performance management and..

... whether services provided by other healthcare professionals are in agreement with ... training in transitions of care, quality assurance, utilization management and care coordination ... focusing on transitions of..

Job Information Centerwell RN Clinical Manager Home Health Full Time in ... in Decatur Georgia The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of quality..

... Kindred at Home Director Clinical Quality Analytics - Remote position in ... Atlanta Georgia The Director, Clinical Quality Analytics manages across multiple cross-functional ... to large complex clinical and..

Job Information Humana Bilingual Quality Auditor in Atlanta Georgia Description ... Atlanta Georgia Description The Bilingual Quality Auditor/ Professional 2 ensures that ... and Medicare Services standards of quality. Review..

Job Information Humana Technical Product Manager - Remote in Atlanta Georgia ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..

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..

Job Information Humana Associate Director, Site Reliability Engineering in Atlanta Georgia Description The Associate Director, Site Reliability Engineering maintains, integrates and implements software applications within the organization. The Associate Director, Site ..

Job Information Centerwell RN Clinical Manager in Decatur Georgia The Clinical ... in Decatur Georgia The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of quality..

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..

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..

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..

... in Atlanta Georgia Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... guidance to ensure physician and healthcare provider plans, education, reporting and ... regional strategies for physician..

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..

... in Atlanta Georgia Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) relies ... guidance to ensure..

... Kindred at Home RN Clinical Manager in Sandy Springs Georgia The ... Sandy Springs Georgia The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of..

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

... improvement program (including OPPE/FPPE and Quality Assurance/Performance Improvement (QA/PI)) and Morbidity and ... Mortality Committee. Work collaboratively on quality goals with Morehouse Department of ... Peri-operative services meetings to..

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 ..

... 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..