THE LARGEST COLLECTION OF HEALTHCARE JOBS ON EARTH
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... acumen to solve for the healthcare challenges of today. The Clinical ... team uses advanced scientific techniques, data analysis, forecasting, and clinical acumen ... their skills to assist with..
... to build a world class Data Science and Insights enterprise capability ... Through the strategic interpretation of data, we provide our consumers-physicians, patients, ... and analyzing diverse types of..
... leverages its advanced knowledge of data, modeling, optimization, and tools. Applies ... that improve the outcomes and quality of the programs we offer. ... operates. Understands and analyzes complex..
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 ..
PURPOSE AND SCOPE:The professional registered nurse Inpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 ..
... an account or branch for quality assessment, education and clinical training, ... financial and utilization metrics, clinical data, clinical medication initiatives, and collaborative ... with the goal of ongoing..
... Humana members to make informed healthcare decisions. Our key goal is ... help our members obtain high quality affordable healthcare while keeping our provider networks ... (cost) & Effectiveness..
Description The Data and Reporting Professional II generates ... system tools and database or data warehouse queries and scripts. The ... warehouse queries and scripts. The Data and Reporting Professional..
... the analysis of situations or data requires an in-depth evaluation of ... whether services provided by other healthcare professionals are in agreement with ... training in transitions of care,..
... monitoring of Health and Wellness quality improvement projects; analyzing and summarizing ... improvement projects; analyzing and summarizing quality data related to Health and Wellness ... programs and services; and..
... Humana members to make informed healthcare decisions. Our key goal is ... help our members obtain high quality, affordable healthcare while keeping our provider networks ... (cost) & Effectiveness..
... the analysis of situations or data requires an in-depth evaluation of ... whether services provided by other healthcare professionals are in agreement with ... whether services provided by other..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in San Juan Puerto Rico Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work ..
... is committed to providing personalized, high-quality primary care combined with an ... welcoming environment for all. The Data Scientist 2 uses mathematics, statistics, ... transform high volumes of complex..
... leverages its advanced knowledge of data, modeling, optimization, and tools. Applies ... that improve the outcomes and quality of the programs we offer. ... problems. Understands and analyzes complex..
... team, Medical Director team, and Quality Assurance team Identify opportunities to ... areas of concern Analysis of data and support strategy development based ... Proficiency in analyzing and interpreting..
Description The Oncology Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization, with a focus on oncology requests. The Oncology ..
Description The Clinical Pharmacy Lead for Pharmacy trend will be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and proactive individual ..
