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Description The Director, QOCA Strategy - serves as the strategic leader in resource utilization; budget and MER oversight; vendor oversight; and for clinician and non-clinician flex associates and off-shore vendor associates ..
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..
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..
Description The Director, Pharmacy Clinical Pipeline oversees the ... and finance teams. Responsibilities The Director, Pharmacy Pipeline requires a broad ... Develop corporate communications of high quality to be shared..
Job Information Humana Associate Director, Health Information Management in Louisville ... Louisville Kentucky Description The Associate Director, Health Information Management ensures data ... Management ensures data integrity and quality for..
Description The Senior Quality Improvement Professional will focus organizational ... on improving Kentucky Medicaid clinical quality performance measures to achieve optimal ... to achieve optimal performance and quality for the..
Job Information Humana Associate Director, Fraud and Waste in Louisville ... Louisville Kentucky Description Responsibilities Associate Director, Program Integrity : At the ... President, Payment Integrity, the Associate Director Program..
Description The Associate Director, Clinical Pharmacy monitors drug development ... improve health outcomes. The Associate Director, Clinical Pharmacy requires a solid ... biosimilar pipeline process Produce top quality presentations and..
... 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..
... in the country. Responsibilities The Healthcare Strategy team supports Humana's Retail ... Team members partner with the senior leaders of the Retail business ... such, the ability to facilitate..
Description Healthcare isn't just about health anymore. ... of our members, and the healthcare industry. Responsibilities In this role, ... train primary care providers in quality-based, senior-focused medicine for existing..
... a publicly traded, Fortune 50 healthcare company with a long history ... in the country. Responsibilities The Healthcare Strategy team supports Humana's Medicare ... Team members partner with the..
Job Information Humana Corporate Medical Director, Healthcare Quality Reporting & Improvement in Louisville ... Kentucky Description The Corporate Medical Director for Healthcare Quality Reporting and Improvement (HQRI) relies ... the..
Description The Senior Quality Improvement Professional will focus organizational ... improving South Carolina Medicaid clinical quality performance measures to achieve optimal ... to achieve optimal performance and quality for the..
Description Humana's Health Quality and Stars organization is seeking ... organization is seeking an Associate Director of Strategy and Organizational Enablement ... and Organizational Enablement to deliver quality and value..
Job Information Humana Director of Public Policy in Louisville ... in Louisville Kentucky Description The Director of Public Policy role resides ... to support direct advocacy with senior officials from..
... and Risk Adjustment National Medical Director in Louisville Kentucky Description The ... in Louisville Kentucky Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... guidance to ensure physician..
Description CenterWell Senior Primary Care, a subsidiary of ... South Carolina and Texas. CenterWell Senior Primary Care has a strong ... has a strong emphasis on senior-focused primary care for..
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 Director, Pharmacy Clinical Trend and Pipeline ... external vendors and providers. The Director, Pharmacy Clinical Trend and Pipeline ... Develop corporate communications of high quality to be..
Description The Director HEDIS Production and Quality Analytics takes the lead in ... in driving success for key quality measures development and analytic reporting ... that support Humana Military clinical..