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... as a focus on collaborative business relationships, value based care, population ... whether services provided by other healthcare professionals are in agreement with ... Delivery Systems, health insurance, other..
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Job Information Humana Clinical Recruiter 2 - VSP in Bethesda Maryland Description The Clinical Recruiter 2 interviews prospective employees for hourly and salaried positions. Assists with Pharmacy recruiting from entry level ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Bethesda Maryland Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..
Description The Overutilization Review and Monitoring Staff Clinical Pharmacist is a clinical pharmacist that works in Humana's Drug Management Program. This individual conducts case management on at-risk beneficiaries and potential at-risk ..
Description The Sr. Consumer Experience Professional performs data analysis supporting learning plans via management and usage of consumer behavioral, demographic, and attitudinal data. The Sr. Consumer Experience Professional work assignments involve ..
Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..
Job Information Humana Sr. Clinical Recruiter - VSP( Variable Staffing Pool) in Bethesda Maryland Description The Senior Recruiter interviews prospective employees for hourly and salaried positions. Assists with university graduate and ..
Description Humana Special Needs Plans provide personalized guidance and resources to help members get the right care and information based on their specific condition or needs. Beneficiaries qualify with the following ..
Description Healthcare is rapidly changing, and our ... able to work closely with business leaders in Care Management to ... outcome metrics aligned to driving business and strategic goals of..
Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism Care Demonstration ..
Description The Clinical Recruiter recruits and interviews prospective employees for hourly and salaried positions for our Care Delivery Organization. Humana is seeking a recruiter who is a self-starter, able to work ..
Description The Clinical Data and Reporting Professional 2 generates ad hoc reports and regular datasets and reporting for clinical leadership decision making. The Clinical Data and Reporting Professional 2 also pulls ..
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 ..
... criteria in the Formulary Enterprise System Evaluates new medications and accurately ... Collaborates with other pharmacists and healthcare professionals in a team environment ... Manages and communicates line of..
... and executing on Humana's consumer-focused business strategy demands constant negotiation with ... and documentation within a tracking system. May assist with identifying and ... to ensure effective and efficient..
... is look for a Senior Business Systems Analyst to join working remote anywhere ... in the US! The Senior Business Systems Analyst performs analysis of business, process and user..
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 ..
... technological solutions to meet Medicaid business needs within a specified scope ... developing, guiding, and documenting clinical business system and functional processes, influences system design to optimize support and..
Description The Senior Physician Recruiter recruits qualified physicians for medical staff and assists in development of strategic physician recruitment plans. The Senior Physician Recruiter work assignments involve moderately complex to complex ..
... Medicaid Quality Data and Reporting Analyst generates ad hoc reports and ... report information for end-users using system tools and database or data ... Medicaid Quality Data and Reporting..
