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... broad knowledge to the process research best practices within and outside ... required. They are to provide project and program coordination to guide ... improvement efforts. Develops and manages..
Description The Director, Process Improvement analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Director, Process Improvement requires an in-depth understanding ..
... acumen to solve for the healthcare challenges of today. The Clinical ... low value care and related healthcare resource waste, with a focus ... news and reports in the..
... the mission of a leading healthcare company committed to improving the ... We deliver value through detailed research, data-driven insights, strategic planning, structured ... planning, structured problem solving, and..
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 ..
... We deliver value through detailed research, data-driven insights, strategic planning, structured ... planning, structured problem solving, and project management rigor. We are a ... solutions. Creative - Adept at..
... is looking for an experienced Healthcare Investigator to join its industry ... issues regarding technical approach for project components. Exercises good judgment with ... other platform o Performing Investigative..
Description The 'voice of the provider' is key to Humana's integrated care delivery strategy. As Humana evolves from being recognized as a traditional payer to a health care company with deep ..
Description The Director, Strategy Advancement provides data-based strategic direction identifying and delivering new avenues of growth is a critical company priority, championed by the SVP of Retail Strategy & Product. We're ..
Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to solve for the healthcare challenges of today. The Clinical Analytics and Trend team uses advanced scientific techniques, ..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
... acumen to solve for the healthcare challenges of today. The Clinical ... anywhere The Clinical Trend Program Manager (PM) role designs, communicates, and ... progress and performance against the..
... changes, be responsible for overarching project planning and deliverables for the ... program. As well as to research & resolve beneficiary & provider ... objectives. Required Qualifications Experience in..
Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
... nation's largest full-service pharmacy benefits manager (PBM) specifically for the hospice ... the Pharmacy Claims (Support Services) Manager Assist pharmacies with claims adjudication ... the Pharmacy Claims (Support Services)..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Ridgeland Mississippi Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the clinical ..
Description The Manager, Software Engineering codes software applications ... based on business requirements. The Manager, Software Engineering works within specific ... schedules and goals. Responsibilities The Manager, Software Engineering standardizes..
Job Information Humana Manager, Pharmacy and Medical Trend in ... on key metrics. Support clinical research integration activities with internal research department. Collaborate with other leaders ... job as we..
Job Information Humana Product Manager Lead, Pharmacy Transformative Products Team, ... 60 market leader in integrated healthcare with a clearly defined purpose ... us redefine the future of healthcare. With..
Job Information Humana Medical Director of Trend Analytics in Ridgeland Mississippi Description Humana's ECM organization is seeking a Medical Director of Trend Analytics. As a clinical trend leader you will support ..
Description Humana is a Fortune 60 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of the ..
... Clinical Analytics and Trend Program Manager in Ridgeland Mississippi Description The ... Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... progress and performance against the..
Job Information Humana Associate VP, Clinical Pharmacy (Remote) in Ridgeland Mississippi Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support and strategy to ..
