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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 ..
Job Information Humana Associate VP, Business Transformation and Clinical Innovation in Aberdeen South Dakota Description The AVP, Business Transformation and Clinical Innovation leads the business transformation strategy and execution plans required ..
President & Chief Executive Officer (CEO) -Avera St. Lukes Please do not hit the click to apply button on this page. Candidates wishing to apply must submit materials electronically. Application materials ..
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 ..
Job Information Humana Senior Technology Implementation Professional (Remote-Nationwide) in Aberdeen South Dakota Description The Senior Technology Implementation Professional delivers new technological solutions to meet business needs within a specified scope while ..
Job Information Humana Senior Compliance Professional (PBM & Pharmacy) in Aberdeen South Dakota Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately ..
Job Information Humana Associate Vice President, Quality Improvement for Healthy Horizons in Aberdeen South Dakota Description As a company whose primary focus is on the well-being of its members, Humana is ..
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 ..
... analytics, public health, epidemiology, data/healthcare consulting, actuarial science or any field ... more years of payer and/or consulting experience in the healthcare industry ... role with a payer or..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..
Job Information Humana Senior Business Intelligence Engineer (Wellness) Remote Nationwide in Aberdeen South Dakota Description The Senior Business Intelligence Engineer - Wellness solves complex business problems and issues using data from ..
Job Information Humana Senior Compliance Professional, Specialty Compliance in Aberdeen South Dakota Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional works assignments involving moderately complex ..
Job Information Humana Lead, Medicaid Technology Implementations New State Implementations & Re-procurements in Aberdeen South Dakota Description The Lead, Medicaid Technology Implementations New State Implementations & Re-procurements devises an effective strategy ..
Description The Associate Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
Description The Vendor Management Lead will work as the key liaison, relationship owner and operational point person between Medline and Humana. The OTC Vendor Management Lead will serve as the primary ..
Description The Network Optimization Lead oversees various efforts involving highly complex data analysis and consultation projects/contracts. The Network Optimization Lead works on problems of diverse scope and complexity ranging from moderate ..
Description Responsibilities The Senior Solutions Architect works with user groups to solve business problems with available technology including hardware, software, databases, and peripherals. Translates business needs into technical systems solutions. Integrates ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..
Job Information Humana Senior Compliance Professional- REMOTE (Anywhere in the US) in Aberdeen South Dakota Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental requirements. The Senior Compliance ..
Job Information Humana Senior Network Strategy Professional-- REMOTE/WORK AT HOME (ANYWHERE IN THE US) in Aberdeen South Dakota Description The Senior Network Strategy Professional oversees various efforts involving complex data analysis ..
Description Come join the Data Governance office as Lead, Enterprise Data Governance! In this role you can help grow and implement the company's data use and external data strategies. Through applying ..
Description The Talent Management Senior develops, implements, and evaluates employee development plans and programs to support organizational needs in a combination of disciplines such as management development, talent management, succession planning, ..