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Description Responsibilities The Associate Director, Actuarial Pricing establishes market level financial metrics to align with segment profitability goals, analyzes market level results and projections and develops recommended pricing actions to address ..
Description The Associate Director of IT Category Management will lead the team of Category Managers to drive cost savings via a robust 7-step process, oversee negotiations, implement contracts, and drive successful ..
Description This Associate Director will be responsible for providing ... vendors / trends. This Associate Director is responsible for overseeing ongoing ... communications, security, systems and process compliance testing Provides..
Job Information Humana RN Telephonic Transplant Care Manager-WAH in Green Bay Wisconsin Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements ..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Green ... Bay Wisconsin Description The Associate Director, Utilization Management Nursing utilizes clinical ... benefit administration determinations. The Associate Director,..
Job Information Humana AVP Enterprise Architecture Activation in Green Bay Wisconsin Description The Associate VP, Enterprise Architecture translates business needs into technical systems solutions and architectural roadmaps. The Associate VP, Enterprise ..
Description Humana is a Fortune 60 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of the ..
Description Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that all ..
Job Information Humana AVP, Systems Engineering in Green Bay Wisconsin Description Humana's Associate Technology Experience team delivers enterprise technology products and services that amplify the power of human connection across Humana's ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Green Bay Wisconsin ... Bay Wisconsin Description The Associate Director, Compliance Nursing reviews utilization management activities ... waste, and abuse. The..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing ..
Job Information Humana Director, Care Delivery and EMR/EHR Technology ... Green Bay Wisconsin Description The Director, Technology Solutions devises an effective ... and the core EMR/EHR. The Director, Technology Solutions..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Green Bay Wisconsin Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to ..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Green Bay Wisconsin Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that ..
... Status: Hourly Reports to: Store Director Under the direction of the ... the direction of the Store Director and Assistant Store Director, assists day-to-day store operations efficiently. ... and..
Job Information Humana VP, Clinical Operations in Green Bay Wisconsin Description VP, Clinical Operations and Chief Clinical Officer of Kindred at Home, you will be responsible for planning and creating the ..
... Citizen Development Governance, Risk and Compliance (GRC) Senior Professional, you will ... you. Responsibilities Description: The IT Compliance Professional works with non-IT user ... courses of action. The IT..
Description Responsibilities Role Description Summary The Director of the National Call Center/evendor channel is responsible and accountable for building, leading and having oversight of the go to market business strategy at ..
... risks are effectively managed and compliance objectives are achieved. In addition, ... in ensuring Humana's risk and compliance processes effectively drive high-value outcomes ... before they become incidents or..
