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Description The Senior Technical Product Management Professional Clinical Rules Engine leads a cross-functional technology project/product teams from design to delivery of developed clinical based software analytics and decision making solutions that ..
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 ..
... Humana is a Fortune 60 healthcare company with a history of ... top place to work in healthcare, especially in areas of Diversity ... a personalized, seamless and easy..
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 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 o Our search is focused on identifying an individual contributor who will take ownership of Medicare risk adjustment programs that fit best with our providers by implementing operational and clinical ..
Job Information Humana Clinical Analytics and Trend Program Manager in San Antonio Texas Description ... to substantial. Responsibilities The Clinical Analytics & Trend Program Manager role designs, communicates, and implements..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Government. Responsibilities The Telephonic Care Manager will..
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 ..
... 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..
Description Healthcare is rapidly changing, and our ... implementation plan, informed by data analytics, and measured by process and ... for implementation. They must have healthcare strategy experience, Care management..
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 Healthcare Lead Product Manager: Hispanic Segment Medicare Advantage in ... Texas Description The Lead Product Manager Conceives of, develops, delivers, and ... customer use. The Lead Product..
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 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 ..
... 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..
Job Information Humana Healthcare Lead Product Manager: Chinese and Korean Segment Medicare ... Texas Description The Lead Product Manager Conceives of, develops, delivers, and ... customer use. The Lead Product..