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Description The Lead Medical Director relies on medical ... and reviews health claims. The Lead Medical Director requires a solid ... interrelate across department(s). Responsibilities The Lead Medical Director provides..
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 ..
Description The Senior Clinical Business Professional manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Senior Clinical Business Professional ..
Description Humana's National Medicaid Quality team is seeking a Market Consultant ... corporate level National Medicaid Quality team and other corporate quality resources ... member of the market quality team,..
Job Information Humana Senior Accreditation Professional in Fargo North Dakota Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance ..
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 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 ..
... 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 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..
... 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..
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 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 ..
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 ..
... 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..
... 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,..
Description Humana's Enterprise Clinical Management team needs your clinical, business and ... The Clinical Analytics and Trend team uses advanced scientific techniques, data ... Clinical Analytics and Trend (CAT) team..
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..
Description Humana's Enterprise Clinical Management team needs your clinical, business and ... The Clinical Analytics and Trend team uses advanced scientific techniques, data ... and various analytical organizations to lead..
... 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..
Job Information Humana Actuary, Risk and Compliance in Fargo North Dakota Description This Actuary role is a newly created role within the Senior Products Actuarial Compliance team focused on special Medicare ..
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 ..
... 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..
