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... Collaborate with National Contracting, Medical Management, MarketPoint (Medicare sales distribution), Market ... finance, health services, and/or medical management; ability to partner across functions ... by delivering personalized, simplified, whole-person..
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... Advanced degree Experience in Project Management Experience with multiple utilization management platforms Additional Information Interview Format:As ... interviews. Alert: Humana values personal identity protection. Please be aware that .....
... Grief counseling, workplace problems, and management consultation. Understands department, segment, and ... documentation and multi-tasking Experience providing management consultation Experience developing and delivering ... by delivering personalized, simplified, whole-person..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... of action. Responsibilities The Utilization Management Nurse 2..
Description The Actuary, Analytics/Forecasting will develop the financial forecast for the dental and vision benefits included within Humana's growing Medicare Advantage business, as well as pricing and oversight of other stand ..
Description Humana's Enterprise Clinical Management team needs your clinical, business ... acumen to solve for the healthcare challenges of today. The Clinical ... Care initiative program and process management Manages,..
Description The Pre-Authorization Nurse 2 reviews Genetic testing prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The ..
Description The Utilization Management Nurse utilizes clinical nursing skills ... benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... by delivering personalized, simplified, whole-person healthcare experiences. Recognizing..
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 ..
... ECOM leadership team with Program management & Pipeline trend management efforts Work with various Humana ... Minimum 2 years working in healthcare or a related industry 3 ... and..
Description The Senior Risk Management Professional a critical member within ... within Humana's Third Party Risk Management Program (TPRM), a 2nd Line ... program by implementing vendor risk management practices..
Description The Utilization Management Behavioral Health Professional 2 utilizes ... benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work ... of action. Responsibilities The Utilization Management Behavioral Health..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... technology allows Responsibilities The Utilization Management Nurse 2..
