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Description The Clinical Strategy & Practice Lead will oversee our behavioral health (BH) clinical program for Oklahoma's Medicaid plan enrollees. They will collaborate closely with the Health Services Director and RVP, ..
Description Humana's Lead Program Integrity Investigator will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance program to prevent and detect potential FWA activities pursuant to state ..
... Humana Clinical Strategy and Practice Lead (Behavioral Health) - Oklahoma, OK ... The Clinical Strategy & Practice Lead will oversee our behavioral health ... The Clinical Strategy & Practice..
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 ..
... 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 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 ..
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 Network Operations Coordinator 4 maintains provider relations to support customer service activities through data integrity management and gathering of provider data needed for service operations. The Network Operations Coordinator ..
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 ..
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..
... 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,..
... 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 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 ..
... 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..
Job Information Humana Actuary, Risk and Compliance in Tulsa Oklahoma Description This Actuary role is a newly created role within the Senior Products Actuarial Compliance team focused on special Medicare Advantage ..
... 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 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..
... 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 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 ..
... 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 Senior Accreditation Professional in Tulsa Oklahoma Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance with ..
... 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..
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 ..