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Description The Manager, Quality Improvement implements quality improvement ... Diagnosis and Testing (EPSDT). The Manager, Quality Improvement works within specific ... schedules and goals. Responsibilities The Manager, Quality Improvement is..
... Clinical Analytics and Trend Program Manager in Louisville Kentucky Description The ... Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... their skills to assist with..
... acumen to solve for the healthcare challenges of today. The Clinical ... team uses advanced scientific techniques, data analysis, forecasting, and clinical acumen ... anywhere The Clinical Trend Program..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
... 40) market leader in integrated healthcare with a clearly defined purpose ... results, persuasiveness through logic and data, and knowledge of how to ... optimization using A/B testing and..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Louisville Kentucky Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..
Job Information Humana Data Manager / ETL Developer - Primary ... in Louisville Kentucky Description The Data Manager 2 supports all aspects of ... all aspects of configuration control, data..
... the analysis of situations or data requires an in-depth evaluation of ... whether services provided by other healthcare professionals are in agreement with ... written communication skills. Evidence of..
... the analysis of situations or data requires an in-depth evaluation of ... whether services provided by other healthcare professionals are in agreement with ... whether services provided by other..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
... and business intelligence in providing data-based strategic direction and support to ... delivery - maturing most-valued operational data points and advancing leadership dashboards/views ... reliability of clinical reviews and..
... is seeking a HEDIS Senior Data Manager to deliver quality and value ... Responsibilities Responsibilities The HEDIS Senior Data Manager is accountable for engaging in ... HEDIS results. The..
... for an Associate Director of Data Science to lead a team ... to lead a team of data scientists who building machine learning ... this to the team of..
... Information Humana Behavorial Economics Program Manager - Test & Learn Portfolio ... acumen to solve for the healthcare challenges of today. The Clinical ... team uses advanced scientific techniques,..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an accomplished healthcare leader for the newly-created role ... quality, appropriate, and cost-effective behavioral..
... key quality measures development and analytic reporting functions that support Humana ... along with acquisition of e-clinical data for Quality initiatives. Provides strategic ... quality reporting, enhancement of electronic..
Description The Medical Director is a leadership position that leverages medical expertise, understanding of the TRICARE business, and managed care to support and lead on both clinical programs as well as ..