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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 Quality Assurance, Clinical Professional 2 consults ... high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work ... courses of action. Responsibilities The Quality Assurance,..
Description The Senior Quality Assurance, Clinical Professional requires being both a nurse/RN and a certified Coder nurse as this position will be cross trained to review DRG (Diagnosis Related Group) audits ..
Job Description Must reside in state of AZ, preferably within Maricopa County. This is a full-time telework role, however, may require up to 10% travel for onsite Health and Safety visits. ..
Description Responsibilities The Senior Quality Assurance (Home Health) Clinical Professional consults and collaborates with clinicians/nurses to ensure high accountability of compliance and quality and claims are being reviewed correctly. This position ..
Description Humana's National Medicaid Quality team is seeking a Market ... for supporting individual Medicaid market quality teams and serving as the ... the corporate level National Medicaid Quality team..
... 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 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..
... 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 Inbound Contacts Representative 4 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 4 assumes ownership and leads advanced and highly specialized administrative/operational/customer ..
... Humana Lead Product Manager - Healthcare API in Phoenix Arizona Description ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..
Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Phoenix Arizona Description Humana ... Healthy Horizons is seeking a Quality Improvement Program..
Description The Supervisor, Inbound Contacts represents the company by addressing incoming telephone, digital, or written inquiries. The Supervisor, Inbound Contacts works within thorough, prescribed guidelines and procedures; uses independent judgment requiring ..
Description The Quality Compliance Professional 2 completes annual ... Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments ... courses of action. Responsibilities..
Job Information Humana Healthcare Strategy Consultant in Phoenix Arizona ... in Phoenix Arizona Description The Healthcare Strategy Consultant provides data-based strategic ... Responsibilities Humana, a Fortune 60 Healthcare Company Humana..
Description The Senior Medicaid Quality Data and Reporting Analyst generates ... factors. Responsibilities The Senior Medicaid Quality Data and Reporting Analyst will ... the management and manipulation of quality data..
Job Information Humana Strategy Advisor, Healthcare Strategy in Phoenix Arizona Description ... Arizona Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..
... College of Surgeons National Surgical Quality Improvement Program. Responsibilities include appropriate ... data analysis, report generation, data fidelity/quality assurance. Additionally, the Clinical Quality Improvement Analyst will collaborate with .....
Job Information Kindred at Home Healthcare Account Executive in Scottsdale Arizona ... source audience is required. Previous healthcare sales experience preferred such as ... raise the bar on home healthcare..
Job Information Humana Quality Improvement Coordinator in Phoenix Arizona ... in Phoenix Arizona Description The Quality Improvement Coordinator 3 assists in ... assists in administering and monitoring quality improvement and..
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 Phoenix Arizona Description ... Arizona Description The Behavioral Health Quality Lead will report directly to ... directly to the National Medicaid..
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..