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Description Responsibilities Participates in all activities associated with delegated credentialing and recredentialing of providers in the TRICARE East Region, and Humana Government Business subsidiaries' networks. Monitors delegated organizations in processing provider ..
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Job Information Humana Healthcare Lead Product Manager: Chinese and Korean Segment Medicare Advantage in San Antonio Texas Description The Lead Product Manager Conceives of, develops, delivers, and manages products for Chinese ..
Job Information Humana Healthcare Lead Product Manager: Hispanic Segment Medicare Advantage in San Antonio Texas Description The Lead Product Manager Conceives of, develops, delivers, and manages products for Hispanic MA customer ..
Description Responsibilities Humana's Corporate Strategy team is a small, high-performing organization that works closely with Humana's senior leadership to chart the course for the company's future. Within Strategy Operations, you will ..
Description The Clinical Data and Reporting Professional 2 generates ad hoc reports and regular datasets and reporting for clinical leadership decision making. The Clinical Data and Reporting Professional 2 also pulls ..
Description The Financial Analytics Professional 2 manages data to ... business performance issues. The Financial Analytics Professional 2 work assignments are ... of action. Responsibilities The Financial Analytics Professional 2..
Description Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated reporting. The Consumer Service Operations Professional 2 evaluates ..
Description The Senior Clinical Business Professional is a clinical partner to the Commercial Product Strategy team. The Senior Clinical Business Professional work assignments involve moderately complex to complex issues where the ..
Description The Actuary, Analytics/Forecasting will develop the financial forecast ... dental and vision benefits. Benefit analytics and consulting, trend analysis, and ... this career opportunity. The Actuary, Analytics/Forecasting analyzes and..
Description The Experience Strategy & Transformation Lead enhances the consumer experience by architecting experiences and building capabilities that will positively impact our customers. The Experience Strategy & Transformation Lead works on ..
Description The Pharmacy Clinical Advisor Professional 2 is an integral part of the Pharmacy Stars team which is accountable for Humana's Patient Safety and medication related Star measure performance. The Pharmacy ..
Job Information Humana Clinical Analytics and Trend Program Manager in ... to substantial. Responsibilities The Clinical Analytics & Trend Program Manager role ... Minimum 2 years working in healthcare or..
Description In order to make lasting, positive impact and change in the healthy equity of the communities we serve, leveraging the support of key stakeholders will be critical. As healthy equity ..
Description The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, ... competitive position. The Associate Actuary, Analytics/Forecasting work assignments involve moderately complex ... factors. Responsibilities The Associate Actuary, Analytics/Forecasting ensures..
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 ..
Description The Informaticist 2 coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informaticist 2 work assignments are ..
Description The Associate VP of Payment Innovation supports the creation of new value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Associate VP of ..
Description The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, ... and competitive position. The Actuary, Analytics/Forecasting works on problems of diverse ... to substantial. Responsibilities The Actuary, Analytics/Forecasting ensures data..
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 Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the Department of Defense to administer the TRICARE health program for military members, retirees and their ..
Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..
Description Responsibilities The Market Development Advisor oversees the implementation and operations of the TRICARE contract in smaller multi-city geographic areas. You will have multiple Humana Contract Offices (HCOs) under your supervision ..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in San Antonio Texas Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with ..