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Description The Senior Quality Improvement Professional will focus organizational ... (BH)/Substance Use Disorder (SUD) clinical quality performance measures to achieve optimal ... to achieve optimal performance and quality for the..
... Humana Nationwide Medicaid Behavioral Health Quality Lead in Charleston West Virginia ... Virginia Description The Behavioral Health Quality Lead will report directly to ... directly to the National Medicaid..
... reducing waste and overuse of healthcare services, while encouraging high value ... care. The team uses advanced data analytic techniques, clinical acumen and ... Trend (CAT) team needs your..
Description The Data and Reporting Professional II generates ... system tools and database or data warehouse queries and scripts. The ... warehouse queries and scripts. The Data and Reporting Professional..
... 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..
... leverages its advanced knowledge of data, modeling, optimization, and tools. Applies ... that improve the outcomes and quality of the programs we offer. ... problems. Understands and analyzes complex..
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 ..
Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Charleston West Virginia Description ... Healthy Horizons is seeking a Quality Improvement Program..
... staff meets all productivity and quality standards. This leader must have ... routine audits to ensure successful quality performance outcomes and compliance standards ... the promotion of the multi-disciplinary..
RN—ClinicalAbout this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing ..
... ensuring operationalization of key growth, quality and efficiency strategies. This includes ... Public Health Administration, Public Policy, Healthcare Economics, Business or related field ... Demonstrated expertise in population health,..
... policy requirements. Ensure provision of quality patient care while maintaining cost-effective ... where analysis of situation or data requires evaluation of a variety ... for supporting and driving FMS..
