Healthcare Business Analyst Jobs in Hawaii

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..

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 ..

... Management team needs your clinical, business and analytics acumen to solve ... acumen to solve for the healthcare challenges of today. The Clinical ... collaboratively with clinicians, actuaries and..

Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an ..

... 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..

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 The Overutilization Review and Monitoring Staff Clinical Pharmacist is a clinical pharmacist that works in Humana's Drug Management Program. This individual conducts case management on at-risk beneficiaries and potential at-risk ..

... 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..

... 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..

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 Clinical Pharmacy Advisor lead, overseeing Humana Pharmacy and Medical Trend, is a dynamic role within Humana. We are seeking a positive and proactive individual to contribute to a high ..

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 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 ..

... 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 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 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 ..

... 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..

Description The Senior Risk Management Professional a critical member within Humana's Third Party Risk Management Program (TPRM), a 2nd Line of Defense function, will be responsible for maturing our program by ..

... 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..

... 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..

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 ..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Honolulu Hawaii Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..

... broad, advanced product experience and business acumen. Responsibilities As the Director ... to pay and builds ROI-driven business plans. Collaborates with other product ... communicate with a variety of..