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The healthcare consultant will perform the following responsibilities: Conduct analysis of health plan and provider functional areas to identify impacts, opportunities and risks related to the implementation of ICD-10, create high ..
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... diversity, integrity, collaboration and personal development. Through a culture of inclusion, ... to drive innovation and transformative business results. We are seeking talented ... Preparing and implementing a comprehensive..
... & Gynecology, is seeking a Business Administrator for the following: Job ... of specialized activities related to business operations management, including income generation ... of the Executive Director of..
Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides managed Medicaid health insurance. Requires an ..
... - Fully Insured supports strategy development, delivery, and management of the ... portfolio for the Employer Group business. Responsibilities The Senior Product Manager ... framework, and uses customer and..
Description The Senior Clinical Strategy and Practice Professional builds strategies for development, engagement, best clinical practices and processes for clinical community within the enterprise The Senior Clinical Strategy and Practice Professional ..
Description Responsibilities The Senior Business Systems Analysis Professional formulates and ... a good understanding of applicable business systems and industry requirements. Devises ... in place to meet needed business capabilities..
... planning, and program and policy development. UCESC employs a collaborative model ... school districts, higher education, professional development providers, community partners, and health-related ... Associate will assist in the..
... broad, advanced product experience and business acumen. Responsibilities As the Director ... Management, you will drive the development of strategic, high-performing transformational clinical ... lifecycle, user and buyer experiences,..
... leads transformations and experience improvement development for Humana's digital member portal ... portal. Connect member needs with business value propositions and development feasibility. Simplify complex problems and ... users..
... not limited to: Supports the development and implementation of quality improvement ... building Experience working with cross-functional business areas Role Desirables Bachelor's Degree ... degree Advanced degree in a..
... and supports data-driven transformation of healthcare by enabling healthcare and life sciences organizations to ... supporting key patient services and healthcare use cases including defining personas, ... user journeys,..
... and supports data-driven transformation of healthcare by enabling healthcare and life sciences organizations to ... supporting key patient services and healthcare use cases including defining personas, ... firm leadership..
... 60 market leader in integrated healthcare with a clearly defined purpose ... us redefine the future of healthcare. With a history of transformation ... about solving big problems in..
... products and uses customer and business partner feedback to evaluate product ... the Employer Segment from concept development through delivery. You will also ... Specialty Leadership Collaborates on the..
... provide guidance and collaborate with business partners and leadership on these ... assesses and communicates information regarding actuarial/business risks across the organization. Provides ... certifying actuaries, executives, and non-actuarial..
... growth opportunities and work with business leaders to prioritize strategic investments ... industry analysis, building high level financial/business modeling, conducting qualitative analysis (e.g. ... services to Humana's lines of..
... programs for all lines of business including annual program description, work ... compliant quality program. Oversee the development, implementation and management of quality ... outcomes. Incorporate actionable analytics, utilizing..
Description The Staff Clinical Pharmacist- Clinical Formulary Administration monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge ..
... as a focus on collaborative business relationships, value based care, population ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..
... and supports data-driven transformation of healthcare by enabling healthcare and life sciences organizations to ... of key patient services and healthcare use cases including defining personas, ... firm leadership..
... services, provider engagement and network development. They coordinate workforce development initiatives and work collaboratively with ... and work collaboratively with Humana business area leads, other contracted MCO's ... or..
Description The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for claims reserve valuation, financial forecasting, and strategic and operational decisions within ..