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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 ..
... 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 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 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 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 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 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..
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..
... our seniors and helping them lead a fulfilling life. The Product ... life. The Product & Experience team drives the product vision for ... feedback from business owners, tech..
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 ..
Job Information Humana Senior Accreditation Professional in Portsmouth New Hampshire Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance ..
... 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..
... 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..
Job Information Humana Actuary, Risk and Compliance in Portsmouth New Hampshire Description This Actuary role is a newly created role within the Senior Products Actuarial Compliance team focused on special Medicare ..
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 ..
... 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 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 ..
... 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..
... 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 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,..
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 ..
