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... contracting with downstream specialty providers. Contract Management: Direct leadership and supervision ... and processes necessary for optimal contract management. Partner with CDO Population ... with CDO Population Health and..
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Description This position reports through Humana Pharmacy Supply Chain (PSC) team and performs various supply chain, financial and vendor management related tasks in support of Humana Pharmacy operations including, but not ..
... to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Market Development ... Florida Subcontractor value Effectively manage contract-related matters, inclusive of the following: ... key..
... that create business value Conduct contract-, invoice- and service-based audits of ... supplier relationships and sites Interpret contract or other legal document language, ... guidance to business areas regarding..
Description The Medical/Financial Risk Evaluation Professional 2 is responsible for supporting the development, implementation and monitoring of medical/financial risk. The Medical/Financial Risk Evaluation Professional 2 work assignments are varied and frequently ..
Job Information Humana Senior Business Intelligence Engineer - Wellness in Colorado Springs Colorado Description The Senior Business Intelligence Engineer - Wellness solves complex business problems and issues using data from internal ..
Description The Credentialing Assistant 3 obtains and reviews documentation to determine status in a health plan. The Credentialing Assistant 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. ..
Description The Associate Director, Credentialing/Compliance manages the Dental Credentialing and Compliance team ensuring that dental providers are Credentialed/Re-credentialed according to CMS and State guidelines and that Humana's Dental Networks operate in ..
Description The M&A IT integration leader will provide strategic guidance with regards to IT integration efforts to Humana's corporate development team and integration management office (IMO) on all growth opportunities (M&As, ..
Description Responsibilities The Associate Director Medical/Financial Risk Evaluation leads a few powerful teams dedicated to reducing waste and abuse in the health care industry and its impacts on Humana. These teams ..
Description The Senior Financial Analytics Professional manages data to support and influence decisions on day-to-day operations, strategic planning and specific business performance issues. The Senior Financial Analytics Professional work assignments involve ..
Description The Senior Value-Based Financial Analyst supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Programs Professional works on problems ..
Description The Trend Team manages the trend bender process for the Retail organization. This includes the management of the medical cost savings initiatives as an input for the Medicare Advantage bids ..
Description Celebrating diverse backgrounds and creating an environment of inclusion is at the heart of Humana. Our commitment is to ensure Humana's work environment is one in which every associate can ..
Description The Lead, Cloud Services Management enables cloud to provide optimal performance, continuity and efficiency in virtualized, on-demand environments. The Lead, Cloud Services Management works on problems of diverse scope and ..
Description The Senior Vendor Management Professional with Humana manages a diverse scope of complex vendor projects in collaboration with all areas of Claims Cost Mgt (CCM) in an effort to reduce ..
Summary The Loan Officer is responsible for making sales of RoundPoint loan packages though proactively soliciting and self-sourcing new residential mortgage business to meet RoundPoint’s loan quality and production goals. The ..
Description Responsibilities The IT Finance Professional collects, compiles, verifies, and analyzes financial information and economic indicators so that senior management has accurate and timely information for making strategic and operational decisions ..
Description The Director, Network Operations maintains provider relations to support customer service activities through data integrity management and gathering of provider claims data needed for service operations. The Director, Network Operations ..
Description The BI Lead is an integral position in Network Strategy & Analytics team responsible for oversight, design, and development of network analytics applications, centered around ownership of strategic initiatives focused ..
... and suspected trend drivers Find contract provisions likely to have contract load issues Poorly worded outlier ... Humana's tables Special projects Investigate contract gaming Investigate contract driven utilization Required..
