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Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
... the Enterprise Agility and Change team. Our objective is to enable ... Humana's Enterprise Agility and Change team is leading an efforts to ... are bringing in a small..
... and initiatives involving own departmental area. Requires cross departmental collaboration, and ... collaboration, and conducts briefings and area meetings; maintains frequent contact with ... Clinical Operations delivery including: Supporting..
Description As Lead Actuary of the Risk Predictive ... of the Risk Predictive Models team, you have an opportunity to ... of the Risk Predictive Models team, you will be..
Description The Senior Clinical Business Professional is a clinical partner to the Commercial Product Strategy team. The Senior Clinical Business Professional work assignments involve moderately complex to complex issues where the ..
... Digital Health & Analytics (DH&A) team within Humana to build a ... Digital Health & Analytics (DH&A) team within Humana to build a ... other members of the care..
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 ..
... we serve, including our associates, lead their best lives. We support ... member of the Ancillary Care team. The Care Coordinator provides individualized ... engaging with other Ancillary Care..
... The Clinical Strategy and Practice Lead builds strategies for development, engagement, ... The Clinical Strategy and Practice Lead works on problems of diverse ... collaboration, and conducts briefings and..
... contribute to a high performing team that helps translate the clinical ... professionals and actuaries in a team environment Supports pharmacy trend management ... activities with internal research department..
Job Information Humana Senior Accreditation Professional in Colorado Springs Colorado Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance ..
Description The Senior Value-Based Financial Analyst supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Programs Professional works on problems ..
Description The Behavioral Health Parity Compliance Lead will play an integral role in the oversight and management of our Mental Health Parity Compliance Program. Responsibilities This role is responsible for monitoring ..
... healthcare leader to join our team as Associate Vice President, Strategy ... & Stars. The Risk Adjustment team collects and submits members' health ... The Health Quality and Stars..
Description The Experience Strategy & Transformation Lead enhances the consumer experience by architecting experiences and building capabilities that will positively impact our customers. The Experience Strategy & Transformation Lead works on ..
Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new ..
... Humana's Enterprise Clinical Management (ECM) team needs your business, healthcare and ... The Clinical Analytics and Trend team uses advanced analytic techniques, and ... seeking a Clinical Trend Research..
Description The Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or ..
... part of the CenterWell leadership team, a subsidiary whose purpose is ... people everywhere, including our associates, lead their best lives. We support ... we serve, including our associates,..
... Consumer Experience Strategy and Design team was formed to deliver one ... for all our members. This team operates with a mandate to ... Consumer Experience Strategy and Design..
Description The Pharmacy Clinical Advisor Professional 2 is an integral part of the Pharmacy Stars team which is accountable for Humana's Patient Safety and medication related Star measure performance. The Pharmacy ..
