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Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships ... goals. The Senior Value-Based Programs Analyst works on problems of diverse ... Responsibilities The Senior Value-Based Programs Analyst..
Description The Senior Value-Based Financial Analyst supports successful value-based provider relationships ... Responsibilities The Senior Value-Based Financial Analyst advises executives to develop functional ... of new value-based models through data..
Description The Actuary, Pricing MA-PD is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new ..
... encounter inbound/outbound process issues, using data from internal and external sources ... outbound. Identify and interpret encounter data, submission requirements and performance metrics ... errors in systems/databases; perform encounter..
Description The Data and Reporting Professional II generates ad hoc ... system tools and database or data warehouse queries and scripts. The ... warehouse queries and scripts. The Data and..
Job Information Humana Senior Project Manager -- Remote in Riverton Wyoming Description The Senior Project Manager manages all aspects of a project, from start to finish, so that it is completed ..
... Senior UX Research Professional performs data analysis supporting learning plans via ... consumer behavioral, demographic, and attitudinal data. The Senior UX Research Professional ... the analysis of situations or..
Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Riverton Wyoming Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be responsible ..
... is looking for an experienced Healthcare Investigator to join its industry ... the analysis of situations or data requires an in-depth evaluation of ... Legal, Compliance). o Comfort with..
... activities to financial goals. Analyzes data about Humana member outcomes and ... program operations. Makes recommendations on reporting and other initiatives to improve ... 8 or more years of..
... defines/improves processes regarding quality measurement data collection and improvement methodology for ... 3 years of experience managing Healthcare Quality programs OR 8 years ... to perform moderate to complex..
Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
... the analysis of situations or data requires an in-depth evaluation of ... Minimum of 1 year of healthcare fraud investigations or auditing experience ... and PowerPoint Solid understanding of..
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 ..
... responsible for analyzing and managing healthcare data to improve the quality of ... (IT) teams to ensure that healthcare technology systems are integrated and ... are integrated and utilized..
... the analysis of situations or data requires an in-depth evaluation of ... SQL to pull and review data elements Excellent oral and written ... communication skills Prior experience in..
Description The Senior Security Professional protects the organization's employees, properties, and all items of value on premises from any preventable harm or danger. The Senior Security Professional work assignments involve moderately ..
... Public Health Administration, Public Policy, Healthcare Economics, Business or related field ... Demonstrated expertise in population health, data analysis, data mining concepts and identifying health ... Public Health Administration,..
... regarding HEDIS and quality measurement data collection and improvement methodology for ... Qualifications Bachelor's degree in Business, Healthcare, or related field. 5 years ... to perform moderate to complex..
... public policy positions such as: data; resources; subject matter experts; and ... 5 or more years of healthcare policy experience including a track ... research, and resource development supporting..
Description The Senior Value-Based Analyst supports successful value-based provider relationships ... path-to-value goals. The Senior Value-Based Analyst works on problems of diverse ... substantial. Responsibilities The Senior Value-Based Analyst advises..
Job Information Humana Senior Innovation Portfolio Strategy Professional in Riverton Wyoming Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives that ..
