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... work at home anywhere The Clinical Trend and Analytics team leverages ... learning to predict financial and clinical outcomes in order to guide ... Scientist, you will collaborate with..
Description The Senior Data and Reporting Professional generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The ..
Description The Process Improvement Lead analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems of ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
Description Humana is rapidly evolving from an insurance company with elements of health to a healthcare company with elements of insurance. We are embarking on an ambitious journey to implement a ..
Description Humana Healthcare Research (HHR) needs your research study design and analytical skills ... implementation of various types of research studies and the strategic interpretation ... are interested in using..
Description The Value-Based Programs Strategy Lead supports the creation of complex value-based programs. The Value-Based Programs Lead provides strategic advice and guidance to functional team(s) related to value-based vendor and specialty ..
... with other analytics, IT, external clinical vendors, and business areas across ... complexity. Responsibilities Location: Remote The Clinical Vendor Oversight Informaticist 2 leverages ... may require some interpretation. The..
Description The Market Finance Analyst collects, analyzes, and reports on various market data, connecting operational effectiveness and member experience to financial outcomes. Responsibilities The Northeast Region is seeking a Market Finance ..
Job Information Humana Associate Director, Provider Data Interoperability in Charleston West Virginia Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance ..
... the development of our innovative clinical data products, focusing on data-driven ... data products, focusing on data-driven clinical insights using the latest cloud ... vision and product roadmap for..
... uses advanced data analytic techniques, clinical acumen and operational insights to ... work at home anywhere Humana's Clinical Analytics and Trend (CAT) team ... needs your healthcare, analytic, and..
Description The Senior Market Finance Analyst collects, analyzes, and reports on various market data, connecting operational effectiveness and member experience to financial outcomes. Responsibilities The Northeast Region is seeking a Senior ..
... innovations, flexible medication access, one-on-one clinical support, and excellent customer service. ... Customer Service team with claims research/resolution *Assist with new hires training ... related status, authorization status, etc..
Description . Responsibilities The Process Improvement Lead researches best business practices within and outside the organization to establish benchmark data. This individual collects and analyzes process data to initiate, develop and ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Description The Director, Clinical Pharmacy Drug Evaluation and Policy ... Strategies oversees drug class reviews/evaluation, clinical policy strategy development, research, P&T committee oversight, and accreditation. ... and providers. Responsibilities The..
... Responsibilities Be part of our Clinical Support Team - Humana is ... - Humana is seeking a Clinical Consultant who will be accountable ... results. Humana is seeking a..
We welcome you to apply if interested! You will be asked to create an account, which takes less than one minute and requires only a username and password. The entire application ..
Job Information Humana Research Scientist in Charleston West Virginia ... Charleston West Virginia Description Humana's Clinical Strategy and Analytics (CS&A) Team ... (CS&A) Team is seeking a Research Scientist (Remote)...
Description The Research Consulting Lead will be apart ... apart of a healthcare policy research team (HHR). They will: 1) ... comprised of individuals tasked with research consulting and analytic..
Charleston Area Medical Center is recruiting to employ an additional BC/BE Infectious Disease physician to join a thriving Hospital ID practice. Call will be 1 in 5. rnExcellent hospitalist team with ..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. Responsibilities The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring best and most appropriate ..