Contract Consulting Jobs in Troy

Oracle EAM (Enterprise Asset Management) Perform in the role of EAM solution strategist defining Roadmap & approach Facilitate workshops to define the business requirements and TO-BE design of systems and processes. ..

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 Troy Michigan Description The AVP, Business Transformation and Clinical Innovation leads the business transformation strategy and execution plans required to ..

Job Information Humana Senior Technology Implementation Professional (Remote-Nationwide) in Troy Michigan Description The Senior Technology Implementation Professional delivers new technological solutions to meet business needs within a specified scope while aligned ..

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 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 ..

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 ..

Job Information Humana Project Management Lead in Troy Michigan Description Responsibilities Join the team advancing strategic projects that impacts millions of beneficiaries for the Department of Defense's leading healthcare contractor! The ..

Job Information Humana Senior Business Intelligence Engineer (Wellness) Remote Nationwide in Troy Michigan Description The Senior Business Intelligence Engineer - Wellness solves complex business problems and issues using data from internal ..

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 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 Network Strategy Professional-- REMOTE/WORK AT HOME (ANYWHERE IN THE US) in Troy Michigan Description The Senior Network Strategy Professional oversees various efforts involving complex data analysis and ..

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 The Learning Facilitation Professional 2 (LFP2) plans, coordinates, conducts or facilitates learning experiences for Humana Military associates and/or external audiences. The LFP2 creates an environment that is conducive to learning ..

... 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 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 ..

Contract Negotiator III The candidate will ... Negotiate terms of financing documents, consulting attorneys as needed. Conduct a ... legal review of third-party contracts, consulting attorneys as needed. Respond to..

Job Information Humana Senior Compliance Professional, Specialty Compliance in Troy Michigan Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional works assignments involving moderately complex to ..

Job Information Humana Lead, Medicaid Technology Implementations New State Implementations & Re-procurements in Troy Michigan Description The Lead, Medicaid Technology Implementations New State Implementations & Re-procurements devises an effective strategy for ..

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 ..

Job Information Humana Associate Vice President, Quality Improvement for Healthy Horizons in Troy Michigan Description As a company whose primary focus is on the well-being of its members, Humana is dedicated ..

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, ..