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Description Against that backdrop, Humana is building a best-in-class Member Engagement Marketing organization to provide a deeper understanding of consumers and Humana members. The Pharmacy Care Marketing team within Member Engagement ..
Description The Lead Product Manager – Consumer Health develops, delivers, and manages products and member-centric experiences that sit on top of our core medical offerings. Responsibilities The Lead Product Manager - ..
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... The Utilization Management Nurse utilizes clinical nursing skills to support the ... Front End Review nurse uses clinical knowledge, communication skills, and independent ... multiple states without restrictions Prior..
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 ..
Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Description The Financial Analyst collects, analyzes, and reports on various market data, connecting operational effectiveness and member experience to financial outcomes. How We Value You Benefits starting day 1 of employment ..
Description The Care Management Support Assistant 2 contributes to administration of Care Management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..
Job Information Humana Group Medicare Senior Proposal Development Professional-Remote/Virtual in Canton Ohio Description The Group Medicare Senior Proposal Development Professional curates content and collaborates with business partners, subject matter experts and ..
Description The Informaticist coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledgeable SMEs. The Informaticist work assignments are varied and ..
... Coordinator 2 that will provide non-clinical support for the policies and ... sits in the Home Solutions organization and contributes to the Value-Based ... UM Administration Coordinator 2 provides..
... kidney care vendors Responsible for Clinical Audits throughout the year, as ... coordination between vendors and Humana clinical programs Develops into a Kidney ... Kidney SME working with Humana..
Description The Project Manager manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Project Manager work assignments are varied ..
... practices within and outside the organization to establish benchmark data. Collects ... Documentation Training guides, procedures, SOP's Organization communication Presentation Technical writing Required ... passionate about contributing to an..
Description The Senior Informaticist coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Senior Informaticist works assignments involving ..
... the Pharmacy Product & Growth organization and will be responsible for ... strategic product extensions, and translates research discoveries into usable and marketable ... strategic product extensions and translates..
... and business areas across the organization to ensure work is completed ... opportunities for potential improvement in clinical care and cost containment Analyzes ... to use appropriate problem solving,..
The Phia Group, LLC is a thriving, service-oriented company headquartered in Canton, Massachusetts. As consultants, we represent health plans nationwide, providing our clients with innovative cost-containment solutions through our unique service ..
Description As a customer-centric company, our top priority has always been the health of the people we serve. Our decades of experience helping millions of members, and our continuous learning on ..
Description The Senior Quality Compliance Nurse Professional is an integral part of the Ohio Quality Improvement Department. This role will collaborate with internal and external customers to complete fast-paced and time ..
... managers, business intelligence leads, and clinical leaders realizes this vision by ... NPS, member effort, etc.), and clinical outcomes across our segments in ... strategists, Medicare product managers, and..
