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Description The physician informaticist provide clinical insights and expertise for various ... work is completed under appropriate clinical governance. Responsibilities Come join the ... they make and help them lead..
... relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract ... work at home anywhere The Clinical Senior Market Development Professional serves ... be limited to: Evaluation of..
... an experienced management professional to lead an interactive team with broad ... and providers. The Director, Pharmacy Clinical Formulary and Medical Strategies requires ... specialty to develop and/or implement..
... Director of Product Management for Clinical Pharmacy Products develops and evaluates ... Director of Product Management for Clinical Pharmacy Products, you will be ... development of strategic, high-performing transformational..
Description Humana's National Medicaid Quality team is seeking a Market Consultant to be responsible for supporting individual Medicaid market quality teams and serving as the main relationship broker and liaison to ..
... people everywhere, including our associates, lead their best lives. We support ... we serve, including our associates, lead their best lives. We support ... to obtain desired productivity and..
... resources which may include national clinical guidelines, Humana contract language, Humana ... coverage policies and determinations, MCG, clinical reference materials, internal teaching conferences, ... computer-based review of moderately complex..
... Manager, Utilization Management Nursing utilizes clinical nursing skills to support the ... Manager, Utilization Management Nursing uses clinical knowledge, communication skills, and independent ... to resources, approach, and tactical..
... health care and achieve desired clinical outcomes. As part of the ... for all activities within the clinical spectrum. This will include coordination ... accordance with the URAC, TRICARE..
Description The Medicaid Clinical Strategy Lead delivers new clinical technological solutions to meet Medicaid ... to enterprise objectives. The Medicaid Clinical Strategy Lead works on problems of diverse ... to..
... they make and help them lead their best lives. We are ... are interested in using their clinical and analytical skills to help ... the healthcare industry. As a..
Description The Senior Clinical Business Professional is a clinical partner to the Commercial Product ... Product Strategy team. The Senior Clinical Business Professional work assignments involve ... at home anywhere..
Description The Senior Clinical Pharmacy Advisor - Trend, is ... team that helps translate the clinical into financial. The goals is ... Responsibilities include the following: Provide clinical and analytical..
... to grow, the National Medicaid Clinical Operations team is expanding our shared ... services organization to enhance the clinical delivery process. The Associate Director, ... problems within department(s), and..
Description Humana Special Needs Plans provide personalized guidance and resources to help members get the right care and information based on their specific condition or needs. Beneficiaries qualify with the following ..
Description Humana is a Fortune 60 healthcare company with a history of successful innovation and reinvention, with over 50 years as a proven leader and innovator in the health and wellness ..
Job Information Humana Senior Product Management Professional / Release Train Engineer in Colorado Springs Colorado Description The Senior Product Management Professional / Release Train Engineer must be able to lead, plan ..
... Director, Utilization Management Nursing utilizes clinical nursing skills to support the ... to grow, the National Medicaid Clinical Operations team is expanding our shared ... services organization to enhance..
... teams from across the Home Operations segment as well as other ... and across the Company. The Clinical Business Process Improvement Consultant defines ... priorities. He or she will..
Description The Lead Product Manager for Specialty products ... marketplace. Responsibilities Position Overview The Lead Product Manager Leads all phases ... outcomes. Once products are launched, Lead monitors efficacy of..
... providers by implementing operational and clinical best practices in the risk ... the risk adjustment methodology, understanding clinical suspects and appropriate clinical documentation and accurate coding. Candidate ... knowledge..
Description The Senior Clinical Business Professional manages all aspects ... and within budget. The Senior Clinical Business Professional work assignments involve ... variable factors. Responsibilities The Senior Clinical Business Professional..
Description The Senior Product Manager - Fully Insured supports strategy development, delivery, and management of the 100 medical insured portfolio for the Employer Group business. Responsibilities The Senior Product Manager supports ..