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Description The Compliance Lead (Medicaid Contract Administrator) ensures compliance with governmental ... substantial. The Compliance Lead (Medicaid Contract Administrator) requires a solid understanding ... Responsibilities The Compliance Lead (Medicaid Contract..
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, ..
Job Information Humana Senior Compliance Professional, Specialty Compliance in Lancaster South Carolina Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional works assignments involving moderately complex ..
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 Are you someone who is experienced with software licensing maintenance, subscriptions, support and SaaS? Do you have skills for developing relationships and making IT jargon palatable for business stakeholders? Do ..
Family Law Attorney The candidate will help effectively solve legal problems for clients by analyzing the situation, understanding their needs, and creating a strategic plan of action. Handle the division of ..
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 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 ..
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 ..
Job Information Humana Lead, Medicaid Technology Implementations New State Implementations & Re-procurements in Lancaster South Carolina Description The Lead, Medicaid Technology Implementations New State Implementations & Re-procurements devises an effective strategy ..
Job Information Humana Associate VP, Business Transformation and Clinical Innovation in Lancaster South Carolina Description The AVP, Business Transformation and Clinical Innovation leads the business transformation strategy and execution plans required ..
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 Senior Business Intelligence Engineer (Wellness) Remote Nationwide in Lancaster South Carolina Description The Senior Business Intelligence Engineer - Wellness solves complex business problems and issues using data from ..
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 Network Strategy Professional-- REMOTE/WORK AT HOME (ANYWHERE IN THE US) in Lancaster South Carolina 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 ..
Job Information Humana Project Management Lead in Lancaster South Carolina Description Responsibilities Join the team advancing strategic projects that impacts millions of beneficiaries for the Department of Defense's leading healthcare contractor! ..
Job Information Humana Associate Vice President, Quality Improvement for Healthy Horizons in Lancaster South Carolina Description As a company whose primary focus is on the well-being of its members, Humana is ..
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 ..
... 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..
Job Information Humana Senior Compliance Professional (PBM & Pharmacy) in Lancaster South Carolina Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately ..