Healthcare Outcomes Jobs

We are immediately looking for an LPN or RN that is looking for full time, part-time, or PRN work in the Springfield area! Travel is required (mileage reimbursement included). For more ..

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

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

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 Medicaid Associate Director, Compliance Nursing in Springfield Missouri Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..

... industry insights to improve member outcomes Responsible for the identification of ... of initiatives that will improve outcomes Ability to leverage industry research ... a matrixed environment to deliver..

Job Information Humana Social Worker - Telephonic Behavioral Health- WAH Nationwide in Springfield Missouri Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' ..

Description The Informaticist 2 coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informaticist 2 work assignments are ..

Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Springfield Missouri Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the ..

Description The Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The Staff Utilization Management Pharmacist work assignments involve moderately ..

Job ID 21000GNRAvailable Openings 1Position Specific Information This position will cover the following clinics in the Springfield, Massachusetts area: Pioneer Valley Dialysis, Western Mass Kidney Center, East Springfield Dialysis, Palmer Dialysis, ..

... drive improved customer experience and outcomes based on external inputs (e.g. ... deliver clinical, experiential and financial outcomes. Build and manage a high-performing ... reporting on product and client-level..

Description The Senior Product Manager conceives of, develops, delivers, and manages products for customer use. The Senior Product Manager work assignments involve moderately complex to complex issues where the analysis of ..

Job Information Humana Telephonic Care Coach -WAH Nationwide in Springfield Missouri Description The Care Coach 1, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain ..

Description The Pharmaceutical Manufacturer Relations Executive ensures the Pharmacy trade strategy aligns with formularies and the desired health outcomes of patients. The Pharmaceutical Manufacturer Relations Executive works on problems of diverse ..

Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for Humana ..

Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the Department of Defense to administer the TRICARE health program for military members, retirees and their ..

Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..

Job Information Humana Social Worker-MSW and licensure required- Telephonic Behavioral Health-SNP- WAH Nationwide in Springfield Missouri Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and ..

Job Information Humana Physician - CenterWell - Atlanta, GA - College Park in Springfield Missouri Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a ..

Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..

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 ..

Job Information Humana Social Worker - Telephonic Behavioral Health-SNP- WAH Nationwide in Springfield Missouri Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' ..