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Job Information Humana Clinical Analytics and Trend Program Manager in Honolulu Hawaii Description The ... to substantial. Responsibilities The Clinical Analytics & Trend Program Manager role designs, communicates, and implements..
... needs your clinical, business and analytics acumen to solve for the ... acumen to solve for the healthcare challenges of today. The Clinical ... challenges of today. The Clinical..
... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Discharge Call (PDC) Telephonic Care Manager will be part of the ... clinical conditions identified through Predictive..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an accomplished healthcare leader for the newly-created role ... quality, appropriate, and cost-effective behavioral..
... Humana Medical Director of Trend Analytics in Honolulu Hawaii Description Humana's ... a Medical Director of Trend Analytics. As a clinical trend leader ... impact Work collaboratively with various..
Job Information Humana Senior Product Manager, Remote in Honolulu Hawaii Description ... Hawaii Description The Senior Product Manager Conceives of, develops, delivers, and ... customer use. The Senior Product Manager..
Job Information Humana Senior Data Manager - Primary Care Organization in ... Hawaii Description The Senior Data Manager supports all aspects of configuration ... deficiency reporting. The Senior Data Manager..
... whether services provided by other healthcare professionals are in agreement with ... whether services provided by other healthcare professionals are in agreement with ... Delivery Systems, health insurance, other..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Honolulu Hawaii Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..
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 Honolulu Hawaii Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..
... partners, Clinical Program Leads, Pharmacy Analytics, and external vendors. The Pharmacy ... of action. Responsibilities The Project Manager, Financial Healthcare Advisor manages all aspects of ... including Clinical Program..
Job Information Humana Medical Director - Texas in Honolulu Hawaii Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to ..
Job Information Humana UM Medical Director - Conviva in Honolulu Hawaii Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
... of services provided by other healthcare professionals in compliance with review ... whether services provided by other healthcare professionals are in agreement with ... Delivery Systems, health insurance, other..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
