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... IT infrastructure architecture solutions to business problems in alignment with the ... Software Engineering teams Contribute to system disaster recovery planning, documentation and ... across interdependent technologies that meets..
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Description The Senior Cloud Services Engineer enables cloud to provide optimal performance, continuity and efficiency in virtualized, on-demand environments. The Senior Cloud Services Engineer work assignments involve moderately complex to complex ..
Description The Business Intelligence Lead solves complex business problems and issues using data ... provide insight to decision-makers. The Business Intelligence Lead works on problems ... perks for well-being Responsibilities..
Description Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated reporting. The Consumer Service Operations Professional 2 evaluates ..
... and professionals, every day. The Analyst level II is responsible for ... testing /validation of data. The Analyst II is a senior member ... creation, documentation, and support of..
... 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 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 ..
... 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..
... 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..
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 ..
... constraints of the clinical or business operations. In depth and precise ... how technology can effectively support business needs. EEO/AA/Disability/Veteran Responsibilities 1. Application ... Documents and maintains all required..
... 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..
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 ..
... vendors, as needed. Humana Government Business government contract requires U.S. citizenship ... to support trend opportunities or business needs. Includes documenting and delivering ... of staffing needs, process flow,..
... 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..
Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, ..
Description The Business Intelligence Lead solves complex business problems and issues using data ... provide insight to decision-makers. The Business Intelligence Lead works on problems ... moderate to substantial. Responsibilities..
... course of action. Humana Government Business government contract requires U.S. citizenship ... Qualifications 3 plus years of healthcare fraud investigation experience 2 plus ... knowledge and experience Experience in..
... responsible for a variety of System-wide reimbursement and revenue integrity functions, ... the revenue compilation for all System's hospitals and physician practices, reporting ... code, researching and resolving charge..
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 ..
... 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 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 ..
... measures the effectiveness of existing business processes and develops sustainable, repeatable ... develops sustainable, repeatable and quantifiable business process improvements. The Senior Process ... as well as other HCS..
