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... goals, analyzes market level results and projections and develops recommended pricing actions to ... metrics. Leverages market level projections and experience data tools to research ... tools to research..
... Network Engineering designs, analyzes, plans and modifies network components supporting customer ... expert in Network Infrastructure Technology and will be responsible for leading, ... managing, architecting, building, deploying, operating,..
... Information Humana Medicaid Associate Director, Compliance Nursing in Billings Montana Description ... Montana Description The Associate Director, Compliance Nursing reviews utilization management activities ... Nursing reviews utilization management activities..
... Workforce Management Professional 1 applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making ... workforce decision-making (e.g., staffing,..
Description The Director, IT Compliance audits the most complex new ... audits the most complex new and existing information systems applications to ... exist, that processing is efficient and accurate,..
... support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE ... Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The ... business across Humana's commercial,..
Description The Care Manager, Telephonic Behavioral Health 2, in ... in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by .....
Job Information Humana Compliance Prof 2/Process and Market Support- Remote in US ... Do you crave new challenges and solving problems? Are you looking ... to improve the Humana processes..
... for the leadership, strategy development and execution of Humana Military's provider ... leader is responsible for timely and accurate implementation of Government supplied ... schedules, prospective payment system software,..
Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Billings ... Billings Montana Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..
Description The Manager, Membership and Plan Services (MPS) Risk Management ... to drive operational excellence, advance compliance results, and improve audit readiness. Responsibilities Where ... Where you Come In The..
... when connecting with AMC guests and leading associates.u003c/liu003eu003cliu003eOptimize Crew placement for ... round-by-round basis.u003c/liu003eu003cliu003eAssist with assigning breaks and jobs within an assigned area.u003c/liu003eu003cliu003eReinforce ... AMC Stubs.u003c/liu003eu003cliu003eResolve guest questions, concerns..
... customer service to both internal and external customers by developing and maintaining relationships with Account / ... with Account / Clinical Management and PCO-IPU Operations teams. Responsibilities Location: .....
Job Information Humana Manager, Compliance - Agent Investigation Unit in ... in Billings Montana Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines..
... Information Humana Director, Care Delivery and EMR/EHR Technology in Billings Montana ... an effective strategy for executing and delivering on IT business initiatives ... specific to care delivery technology..
... Information Humana Senior Cyber Data Manager (remote virtual home office) in ... enterprise goals as an experienced and active cyber security professional practitioner ... active cyber security professional practitioner..
Description The Manager, Risk Adjustment oversees coding educators ... Risk Adjustment oversees coding educators and quality assurance audits of medical ... assurance audits of medical records and ICD-9/10 diagnosis codes..
... Montana Description Humana's Provider Data and Medicaid Governance team is committed ... team is committed to effective and efficient business solutions for quality ... business solutions for quality assurance..
... Associate Vice President (AVP), Technology and Cybersecurity Risk works closely with ... Management, business units, regulatory agencies, and industry groups to ensure the ... to ensure the company's technology..
Description Humana's Provider Data and Medicaid Governance team is committed ... team is committed to effective and efficient business solutions for quality ... business solutions for quality assurance and risk..
... support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer ... Group product implementation, operations, contract compliance, and federal contract application submissions. Responsibilities ... for all assigned health..
Description Responsibilities The Insurance Product Manager 2 will: Research each State's ... analysis, etc. for intelligence gathering and strategy formulation Responsible to maintain ... markets on routine daily tasks and..
... enabling Humana's Enterprise API strategy and directly accountable for the strategy ... directly accountable for the strategy and direction of the Enterprise API ... of the Enterprise API Catalog..