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Description The Senior Value-Based Financial Analyst supports successful value-based provider relationships ... Responsibilities The Senior Value-Based Financial Analyst advises executives to develop functional ... Qualifications Bachelor's degree in Business, Healthcare,..
Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Anchorage Alaska Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..
... objectives related to quality improvement, operations, and analytics. Utilize data to ... and technical knowledge of quality operations and improvement principles in order ... leadership. Understands interdependencies between technology,..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Anchorage Alaska Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
... behavioral health care strategy and/or operations. The Behavioral Health Medical Director ... and clinical guidance for Medical Operations and Market Operations Develop comprehensive care programs for ... programmatic requirements..
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 ..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Anchorage Alaska Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and ..
... collaboration with Encounters, Finance and Operations teams, the Medicaid Encounters Lead ... Qualifications Bachelor's degree in a healthcare field or equivalent experience. 5 ... years of experience in managed..
... looking for an experienced Senior Healthcare Investigator to join its industry ... Qualifications Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 3 years of..
Description The Behavioral Health Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer Group product implementation, operations, contract compliance, and federal contract application submissions. The ..
... markets through the analysis of healthcare data, identification of target patient ... field or 5 years of healthcare operations or clinical experience Experience in ... clinical experience Experience in..
Description The Financial Analytics Lead manages data to support and influence decisions on day-to-day operations, strategic planning and specific business performance issues. The Financial Analytics Lead works on problems of diverse ..
Job Information Humana Lead - Technology Solutions Encounters in Anchorage Alaska Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel ..
... and execute strategic transformation. 'Strategy Operations' is one of a three ... Strategy Planning functions. The Strategy Operations team provides consulting services to ... the other teams in Strategy..
Description The Senior Value-Based Analyst supports successful value-based provider relationships ... path-to-value goals. The Senior Value-Based Analyst works on problems of diverse ... substantial. Responsibilities The Senior Value-Based Analyst advises..
**Providence is calling a Team Manager Nurse Family Partnership (Home Health Care Nursing Partnership, Day Shift, 1.0 FTE) to Providence Home Health Care in Anchorage, Alaska.** **We are a community of ..
Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..
... Information Humana Senior Corporate Strategy Analyst in Anchorage Alaska Description Humana's ... and execute strategic transformation. 'Strategy Operations' is one of a three ... Strategy Planning functions. The Strategy..
Job Information Humana Senior Product Management Professional in Anchorage Alaska Description The Senior Product Management Professional must be able to lead, plan and track all phases of the product life cycle, ..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achieving path-to-value goals through analysis and ..
Description Humana is seeking an experienced management professional to lead an interactive team with broad exposure and scope within Humana. This position will work and collaborate with leaders across the Humana ..
Description Responsibilities As part of the Service Fund Specialty Load Team, the Senior Provider Installation Professional will work directly with our national and market contracting teams to influence specialist contract terms ..
Description The Senior Clinical Fraud and Waste Professional performs analysis of clinical investigations of allegations of fraudulent and abusive practices. The Senior Clinical Fraud and Waste Professional work assignments involve moderately ..
