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Financial Management Analyst Qualifications: For GS-05: The candidate must have 3 years of general experience that includes 1 year of experience equivalent to the next lower grade level (GS-04) or pay ..
... to execute a full new research project, from conception to formulating ... at all times. ? Assures compliance to corporate policies, standard operating ... to improve knowledge related to..
Description The Lead for CRM & Contact Center Technology is responsible for defining comprehensive solution roadmap for the Sales CRM and other technologies leveraged by the MarketPoint Contact Centers. This position ..
Description The MarketPoint Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional works assignments involve moderately ... well-being Responsibilities The MarketPoint..
Job Information Humana Enterprise Transformation Lead - Office or Remote in Ogden Utah Description The Enterprise Transformation Lead provides data-based strategic direction to identify and address business issues and opportunities. Provides ..
Description The Claims Educator is responsible for ensuring prompt and accurate provider claims processing of original claims, resubmissions, and overall adjudication of claims. The Claims Educator manages claims operations that involve ..
Job Information Humana Senior Market Data Professional - Remote in Ogden Utah Description The Senior Market Data Professional provides support to assigned health plan and/or specialty companies relative to Medicare, Medicaid, ..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..
PURPOSE AND SCOPE: Sr. Scientist must be the key knowledge resource and key technical expert on products and projects that support company's goals. The Sr. Scientist is largely unsupervised and self-motivated ..
... business partners. These processes support compliance initiatives, new contracting strategies, and ... performance, business case realization, or compliance. Provider Process also supports business ... Senior Process Improvement Professional will:..
Description The 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 (e.g., staffing, learning and development, ..
Description The Actuary, Pricing is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new plans ..
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 ..
Job Information Humana Senior Value Based Programs Professional - Remote in Ogden Utah Description The National Delegation Oversight and Support (NDOS) Senior Value-Based Programs Professional supports successful value-based provider relationships with ..
Job Information Humana Senior Compliance Professional- REMOTE (Anywhere in the ... Ogden Utah Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental ... and governmental requirements. The..
Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and risk mitigation in implementing Humana's Provider Medicaid operational business. The Associate ..
Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Ogden ... Ogden Utah Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Ogden Utah Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..
... (Drug Supply Chain Security Act) compliance related tasks in support of ... will need to complete varied research and provide timely responses to ... Humana internal procedures Conducts independent..
Job Information Humana Compliance Lead - Remote in Ogden ... in Ogden Utah Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of .....
Description The Associate Actuary, Pricing is responsible for setting pricing assumptions and submitting bids. Supports implementation of rates, new plans and benefit changes. Provides guidance to Product Development on new product/benefit ..
Job Information Humana Value-Based Strategies - CMS Programs Strategy Lead - Remote in Ogden Utah Description Value-Based Strategies - CMS Programs Strategy Lead will support Humana through successful participation in CMS/CMMI ..