THE LARGEST COLLECTION OF HEALTHCARE JOBS ON EARTH
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... 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..
... 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..
... 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..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
... Humana Lead Product Manager - Healthcare API in Newport Rhode Island ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..
Description The Lead, Database Administration (Oracle) manages and maintains all production and non-production databases. Responsible for standards and design of physical data storage, maintenance, access and security administration. The Lead, Database ..
... built exclusively to support the business and the brand. We are ... Writer uses creative writing expertise, business and brand insights, and analysis ... to internal marketing partners Translate..
... As a Data and Reporting Analyst, you will be responsible for ... growth. The Data and Reporting Analyst will integrate data from multiple ... and analysis to support critical..
... report information for end-users using system tools and database or data ... specifications for reports based on business requests. Understands department, segment, and ... Detail-Oriented Data Analysis Effectiveness Measurement..
... 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..
Description The Senior Application Architect designs and develops IT applications and architects solutions to business problems in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
... 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 Market Development Professional 2 provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Market Development ..
... measures the effectiveness of existing business processes, and develops sustainable, repeatable, ... in the fast-paced industry of healthcare, we offer our associates career ... impact on the future of..
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 ..
Job Information Humana IAM Senior Data Engineer in Newport Rhode Island Description The Senior Data Engineer Designs, builds, and maintains data processing architectures and solutions enabling the efficient conversion of structured ..
... with other analytics, IT and business areas across the organization to ... and delivering on Health Informatics business initiatives. The Director of Health ... with other analytics, IT and..
... departments on designing and implementing system/business process adjustments as needed to ... Qualifications Bachelor's degree in a healthcare field or equivalent experience. 5 ... years of experience in managed..
... new technological solutions to meet business needs within a specified scope ... new technological solutions to meet business needs within a specified scope ... encompasses multiple systems teams and..
... with user groups to solve business problems with available technology including ... software, databases, and peripherals. Translates business needs into technical systems solutions. ... network interfaces to form a..
... data base tasks and maintain system updates and weekly reporting to ... to meet timelines • Submit system access requests upon credentialing approvals/clinic ... most current information/documentation • Notify..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Newport Rhode Island Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be ..
