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Job Information Humana Healthcare Lead Product Manager: Chinese and ... to market, ideally in the healthcare space. Experience in data analytics ... Tri-lingual English, Chinese, Korean Additional Information This is..
Job Information Humana Healthcare Lead Product Manager: Hispanic Segment ... to market, ideally in the healthcare space. Experience in data analytics ... Medicare Advantage business Additional Information This is..
... and regular datasets or report information for end-users using system tools ... report content and completeness of information. In addition, the Senior Data ... understand formats that display the..
... lasting, positive changes in the healthcare industry. As a clinical informaticist ... to design or implement health information technology applications to enhance care management ... to translate data into..
... to provide accurate and timely information for claims reserve valuation, financial ... improving consumer experiences Preferred Qualifications Healthcare Industry experience Additional Information Interview Format: As part of ... be..
... services; Home Health, DME. Additional Information- Additional Information Interview Format: As part of ... be using an exciting interviewing technology called Modern Hire Text to ... quickly connect and..
... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... (see details below under Additional Information) and upon offer will be ... Military experience a plus. Additional..
Description The Associate Director, Problem, Incident and Event Management drives technical support teams to recover services during periods of service disruption or outages to key technology platforms/applications. The Associate Director, Problem, ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
... ideal candidate has experience in healthcare launching digital products and working ... the team's primary contact for information, work prioritization, and decision-making. Key ... Degree Role Desirables 2 years..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
... -Remain current with industry and technology trends that impact their domain ... critical components of business and technology domains (e.g. enterprise risk and ... compliance, data management and governance,..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..
... and/or Medicare experience a plus Healthcare Industry experience Additional Information Interview Format: As part of ... be using an exciting interviewing technology called Modern Hire to enhance ... quickly..
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 ..
Job Information Humana Actuary, Risk and Compliance ... Compliance role assesses and communicates information regarding actuarial/business risks across the ... at least 1 year of healthcare experience, or ASA with..
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 ..
... can complete or request additional information. Role Responsibilities Recognizes specific assessments/treatment ... civilian providers to obtain additional information that may be required to ... Processing) . Two years prior..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
Job Information Humana Care Manager, Telephonic Behavioral ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... (see details below under Additional Information) and upon offer will..
Description The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and federal regulations as well as internal policies and guidelines ..
... to provide accurate and timely information for strategic and operational decisions. ... At least one year of healthcare experience with a FSA designation, ... designation, or 3 years of..
... Development Life Cycle (SDLC) and Information Technology Infrastructure Library (ITIL) frameworks used ... risks and issues unique to technology projects. Decisions are typically related ... Qualifications Bachelor's Degree in..
