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Description The Senior Clinical Business Professional manages all aspects of ... within budget. The Senior Clinical Business Professional work assignments involve moderately ... factors. Responsibilities The Senior Clinical Business Professional..
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... measures the effectiveness of existing business processes and develops sustainable, repeatable ... develops sustainable, repeatable and quantifiable business process improvements. The Senior Process ... as well as other HCS..
... is look for a Senior Business Systems Analyst to join working remote anywhere ... in the US! The Senior Business Systems Analyst performs analysis of business, process and user..
... within Humana's growing Medicare Advantage business, as well as pricing and ... Associate Actuary, present forecasts to business stakeholders, and work collaboratively to ... and works directly to support..
Description The Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The Staff Utilization Management Pharmacist work assignments involve moderately ..
Description The Senior Product Manager conceives of, develops, delivers, and manages products for customer use. The Senior Product Manager work assignments involve moderately complex to complex issues where the analysis of ..
... 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..
... Humana is a Fortune 60 healthcare company with a history of ... well-being, and innovation guide our business practices and culture. We're not ... company: our diverse lines of..
... fact, you'll be the overall business owner of predictive risk analytics ... risk analytics for our new business and renewal rating, and will ... responding to the needs of..
Description Humana Special Needs Plans provide personalized guidance and resources to help members get the right care and information based on their specific condition or needs. Beneficiaries qualify with the following ..
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 Responsibilities The Compliance Professional 2 has responsibilities for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism Care Demonstration ..
... direction to identify and address business issues and opportunities. Provides business intelligence and strategic planning support ... and strategic planning support for business segments or the company at .....
Job Information Humana Medicaid Associate Director, Compliance Nursing in Anchorage Alaska Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..
Description The Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of ..
... 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..
... with other analytics, IT and business areas across the organization to ... it builds knowledge of the business context in which it operates. ... the appropriate level, impacts the..
Description The Senior Physician Recruiter recruits qualified physicians for medical staff and assists in development of strategic physician recruitment plans. The Senior Physician Recruiter work assignments involve moderately complex to complex ..
Description Come join the Digital Health & Analytics (DH&A) team within Humana to build a world class Data Science and Insights enterprise capability leveraging digital-first platforms, analytics, and agile development methodologies. ..
Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and proactive individual to contribute to a high performing team that ..
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 ... Preferred Qualifications Bachelor's degree in Business,..
... Professional 2 is responsible for business and financial support of clinical ... to design, communicate, and implement business strategies and operational plans, in ... Clinical Program Leads and Program..
... as a focus on collaborative business relationships, value based care, population ... whether services provided by other healthcare professionals are in agreement with ... Delivery Systems, health insurance, other..