Healthcare It Vendor Jobs in Glen Allen

Job Information Humana Healthcare Lead Product Manager: Chinese and Korean Segment Medicare Advantage in Glen Allen Virginia Description The Lead Product Manager Conceives of, develops, delivers, and manages products for Chinese ..

Job Information Humana Healthcare Lead Product Manager: Hispanic Segment Medicare Advantage in Glen Allen Virginia Description The Lead Product Manager Conceives of, develops, delivers, and manages products for Hispanic MA customer ..

Description The Associate Director, Vendor Management works as liaison between vendors and organization. The Associate Director, Vendor Management requires a solid understanding of how organization capabilities interrelate across department(s). Responsibilities The ..

Description If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver exceptional ..

Description The Senior Pharmacy Clinical Advisor is an integral part of the Pharmacy Stars team which is accountable for Humana's medication related Star measure performance. The Senior Pharmacy Clinical Advisor develops ..

Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ..

Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..

Description The Bilingual Manager, Learning Facilitation , plans, coordinates, and implements all aspects of training programs for participants throughout for Grievance and Appeals / Careplus. EST states Responsibilities The Bilingual Grievances ..

Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..

Job Information Humana Bilingual Quality Auditor in Glen Allen Virginia Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. ..

... for candidates to conduct cyber vendor assessments but rather support our ... experience 3-4 years' experience in vendor risk management, enterprise risk management, ... done through an approved Humana..

Job Information Humana Telephonic Behavioral Health Care Manager in Glen Allen Virginia Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve ..

Description The Medical Coding Coordinator 2 will process and apply the appropriate Code Edit claim payment reductions and denials based on software recommendation. The Medical Coding Coordinator 2 reviews submitted medical ..

... Responsibilities The Project Manager, Financial Healthcare Advisor manages all aspects of ... start to finish, so that it is completed on time and ... to 5 years of technical..

... Glen Allen Virginia Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... regional strategies for physician and..

Description The Vendor Quality Medical Director will manage ... Medical Director will manage clinical vendor quality outcomes for Humana Clinical ... Medical Director to manage clinical vendor quality outcomes for..

Job Information Humana Healthcare Strategy Consultant in Glen Allen ... Glen Allen Virginia Description The Healthcare Strategy Consultant provides data-based strategic ... Responsibilities Humana, a Fortune 60 Healthcare Company Humana..

... Humana Lead Product Manager - Healthcare API in Glen Allen Virginia ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..

Job Information Humana Healthcare Services Senior Learning Design Professional-Remote ... variable factors. Responsibilities The HCS (Healthcare Services) Learning and Curriculum Senior ... job as we are a healthcare company committed..

Job Information Humana Senior Innovation Portfolio Strategy Professional in Glen Allen Virginia Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives ..

Performance Improvement Consultant - Healthcare Revenue Cycle Services Overview of ... completion that will involve, operations, IT and hitting revenue goals Takes ... experience in front/middle and back-end healthcare revenue..

Job Information Humana Strategy Advisor, Healthcare Strategy in Glen Allen Virginia ... Virginia Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..

Description Are you an experienced mainframe storage professional seeking opportunities to have significant impact in the governance, strategy, and architecture of a large mainframe storage environment? Are you interested in expanding ..