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... the analysis of situations or data requires an in-depth evaluation of ... resources, which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations,..
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... and timely access of our data for driving operational decisions. Partners ... Delivery Professional serves as the data steward for the IHWA team, ... partnering with our IHWA partners,..
... Quality Medical Director will manage clinical vendor quality outcomes for Humana ... vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full ... time Medical Director to manage..
Job Information Humana Technical Product Manager(virtual remote home office eligible) in ... EST hours. The Technical Product Manager conceives, develops, delivers, and manages ... Duties for the Technical Product Manager..
Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..
... opening will support the Humana Clinical Pharmacy Review organization performing a ... of analytical tasks including forecasting clinical review volume, identifying opportunities for ... automated decision making in 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 ..
Job Information Humana Clinical Analytics and Trend Program Manager in Honolulu Hawaii Description The ... in Honolulu Hawaii Description The Clinical Strategy and Practice Lead builds ... strategies for development,..
Description The Lead Product Manager will own the analytics engine ... analytics engine product which our data science team has built for ... team has built for Humana's clinical programs...
... the analysis of situations or data requires an in-depth evaluation of ... two different departments (Retail Market Clinical and CPS Quality) within the ... the organization to establish benchmark..
Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to ... healthcare challenges of today. The Clinical Analytics and Trend team uses ... team uses advanced..
Description The Senior Project Manager manages all aspects of a ... within budget. The Senior Project Manager's work assignments involve moderately complex ... the analysis of situations or data requires..
... to grow, the National Medicaid Clinical Operations team is expanding our ... services organization to enhance the clinical delivery process. The Associate Director, ... compliance audits. Collects and analyzes..
... The Director, Strategy Advancement provides data-based strategic direction identifying and delivering ... Medicare and Medicaid), by leveraging data from internal and external sources ... company and external financial and..
Description The Associate Director, Data Science uses mathematics, statistics, modeling, ... transform high volumes of complex data into advanced analytic solutions. The ... analytic solutions. The Associate Director, Data Science..
Description The Senior Data Manager supports all aspects of configuration ... all aspects of configuration control, data management, and deficiency reporting. The ... and deficiency reporting. The Senior Data Manager..
... and scope across Humana Pharmacy, Clinical Operations, and ECOM. This position ... Healthcloud application and all interfacing Clinical and Pharmacy applications. The automated ... for Salesforce Healthcloud and legacy..
Description Humana is a Fortune 60 market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health and well-being ..
Description The Senior Product Manager Conceives of, develops, delivers, and ... customer use. The Senior Product Manager work assignments involve moderately complex ... the analysis of situations or data requires..
