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Description Responsibilities Where you Come In The Manager, Medical/Financial Risk Evaluation identifies, assesses, and mitigates any medical or financial risk that arises from inadequate or failed processes, people, systems, or external ..
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Job Information Humana Medicaid Associate Director, Compliance Nursing in San Juan Puerto Rico Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, ..
Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward ..
Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to solve for the healthcare challenges of today. The Clinical Analytics and Trend team uses advanced scientific techniques, ..
Job Information Humana Associate Director, Retail Claims Technology Solutions in San Juan Puerto Rico Description The Associate Director, Technology Solutions devises an effective strategy for executing and delivering on IT business ..
... identify and collect overpayment of claims. Contributes to the investigations of ... systems, and by ensuring correct claims payment. Decisions are typically related ... of work experience related to..
Job Information Humana Associate VP, Business Transformation and Clinical Innovation in San Juan Puerto Rico Description The AVP, Business Transformation and Clinical Innovation leads the business transformation strategy and execution plans ..
Job Information Humana Medical Director - S. Florida in San Juan Puerto Rico Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve ..
Description The Manager, Release Management Engineering manages cross-organizational collaboration required to introduce applications and infrastructure changes into the production environment. The Manager, Release Management Engineering works within specific guidelines and procedures; ..
Job Information Humana Manager, Operations, Release and Process in San Juan Puerto Rico Description The Manager, Release Management Engineering manages cross-organizational collaboration required to introduce applications and infrastructure changes into the ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
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 ..
Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..
Job Information Humana Manager of Release Engineering, Remote in San Juan Puerto Rico Description The Manager, Release Management Engineering manages cross-organizational collaboration required to introduce applications and infrastructure changes into the ..
Job Information Humana UM Medical Director - Conviva in San Juan Puerto Rico Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve ..
Job Information Humana Manager, Release Management, Remote in San Juan Puerto Rico Description The Manager, Release Management Engineering manages cross-organizational collaboration required to introduce applications and infrastructure changes into the production ..
Job Information Humana Medicaid Senior Project Manager (Remote) in San Juan Puerto Rico Description Humana's Claims Process Organization is looking for a Senior Project Manager to join the Project Management team! ..
Job Information Humana Associate Director, Provider Payment Integrity | Prepay Operations in San Juan Puerto Rico Description The Associate Director, Payment Integrity uses technology and data mining, detects anomalies in data ..
Job Information Humana Medical Director of Trend Analytics in San Juan Puerto Rico Description Humana's ECM organization is seeking a Medical Director of Trend Analytics. As a clinical trend leader you ..
