Healthcare Business Systems Analyst Jobs in Ridgeland

Job Information Humana Clinical Recruiter 2 - VSP in Ridgeland Mississippi Description The Clinical Recruiter 2 interviews prospective employees for hourly and salaried positions. Assists with Pharmacy recruiting from entry level ..

... measures the effectiveness of existing business processes and develops sustainable, repeatable ... develops sustainable, repeatable and quantifiable business process improvements. The Director, Process ... Director, Process Improvement researches best..

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

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 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 ..

... as a focus on collaborative business relationships, value based care, population ... whether services provided by other healthcare professionals are in agreement with ... management organizations, hospitals/ Integrated Delivery..

Description The Director, Strategy Advancement provides data-based strategic direction identifying and delivering new avenues of growth is a critical company priority, championed by the SVP of Retail Strategy & Product. We're ..

... and executing on Humana's consumer-focused business strategy demands constant negotiation with ... to ensure effective and efficient business results. You will handle services ... and network administration in a..

... technological solutions to meet Medicaid business needs within a specified scope ... developing, guiding, and documenting clinical business system and functional processes, influences ... and ensures solutions meet the..

... Collaborates with other pharmacists and healthcare professionals in a team environment ... Manages and communicates line of business priorities Becomes an expert in ... to deliver process improvements and..

... Manager will work side-by-side with business partners to assist in the ... ideal candidate has experience in healthcare launching digital products and working ... strategy and execution Collaborate with..

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 ..

... as a focus on collaborative business relationships, value based care, population ... whether services provided by other healthcare professionals are in agreement with ... management organizations, hospitals/ Integrated Delivery..

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 ..

Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..

... vendors, as needed. Humana Government Business government contract requires U.S. citizenship ... to support trend opportunities or business needs. Includes documenting and delivering ... objectives. Required Qualifications Experience in..

Job Information Humana Sr. Clinical Recruiter - VSP( Variable Staffing Pool) in Ridgeland Mississippi Description The Senior Recruiter interviews prospective employees for hourly and salaried positions. Assists with university graduate and ..

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 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 ..

... Medicaid Quality Data and Reporting Analyst generates ad hoc reports and ... Medicaid Quality Data and Reporting Analyst will be responsible for the ... with a focus on creating..

... 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..

Description The Clinical Recruiter recruits and interviews prospective employees for hourly and salaried positions for our Care Delivery Organization. Humana is seeking a recruiter who is a self-starter, able to work ..

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 ..