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... physicians, physician groups, and integrated healthcare delivery systems throughout the country. ... delivery systems throughout the country. Healthcare isn't just about health anymore. ... of our members, and the..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Description Responsibilities The Quality Improvement Lead provides strategic leadership for Humana's South Carolina Medicaid Quality Program, in alignment with organizational quality and population health goals and ensuring compliance with all contract, ..
Description Responsibilities As part of the Service Fund Specialty Load Team, the Senior Provider Installation Professional will work directly with our national and market contracting teams to influence specialist contract terms ..
... Lancaster South Carolina Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... regional strategies for physician and..
Job Information Humana Utilization Management Registered Nurse - Remote in Lancaster South Carolina Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical ..
Description As a Senior Physician Recruiter, Residency Liaison, you will help to develop a pipeline of physician candidates for Humana's Primary Care Organization (PCO). In this role you will set the ..
Job Information Humana Manager, Utilization Management RN - Remote in Lancaster South Carolina Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of ..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Lancaster South Carolina Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication ..
... Lancaster South Carolina Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
Job Information Humana Senior Insurance Product Compliance Professional in Lancaster South Carolina Description The Senior Insurance Product Compliance Professional Performs consultation and research for policy & certificate language development. The Senior ..
Description The Behavioral Health Lead will report directly to the National Medicaid Quality Director, and be responsible for the development, maintenance, and execution of Humana Healthy Horizon's National Improvement strategy and ..
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 ..
Job Information Humana Director, Informatics in Lancaster South Carolina Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights ..
Description The Senior Learning Design Professional uses instructional design, cognitive psychology and adult learning theory to determine the appropriate solution in order to conduct or facilitate training courses for organization employees ..
Job Information Humana UM Medical Director - Conviva in Lancaster South Carolina Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Lancaster South Carolina Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing ..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Job Information Humana Technical Product Manager - Remote in Lancaster South Carolina Description The Senior Product Management Professional/Technical Product Manager (TPM) must be able to lead, plan and track all phases ..
Job Information Humana Medical Director of Long Term Care, Florida in Lancaster South Carolina Description The Long Term Care Medical Director supports the Long Term Care program in meeting optimal member ..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Lancaster South Carolina Description The Behavioral Health Quality Lead will report directly to the National Medicaid Quality Director, and be responsible ..
