Healthcare Quality Jobs in Santa Maria

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 ..

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 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 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 Nationwide Medicaid Behavioral Health Quality Lead in Torrance California Description ... California Description The Behavioral Health Quality Lead will report directly to ... directly to the National Medicaid..

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..

... collection tasks relating to general healthcare guidelines to collect amounts owed ... related) as well as other healthcare financial accounting documentation or records. ... key performance indicators measuring productivity,..

Job Information Humana Quality Improvement Coordinator in Los Angeles ... Los Angeles California Description The Quality Improvement Coordinator 3 assists in ... assists in administering and monitoring quality improvement and..

Job Information Humana Quality Improvement Coordinator in Torrance California ... in Torrance California Description The Quality Improvement Coordinator 3 assists in ... assists in administering and monitoring quality improvement and..

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

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..

... moderate to substantial. Responsibilities The Quality Technology Leader collaborates with business ... to ensure the maturity of quality in the delivery of technology ... experienced with testing principles and..

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..

... 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..

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

... goal and maintain an average quality score of 2.80 or above. ... required Nice to Have Prior healthcare experience on Centricity GE system ... medial group performing collection activities,..

... 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, Quality Assurance for Humana/Your Home Advantage ... programs to establish and maintain quality standards of existing products and ... Wellness Assessments. The Associate Director, Quality Assurance..

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

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 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..

Job Information Humana Strategy Advisor, Healthcare Strategy in Torrance California Description ... California Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..

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..