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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 ..
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... 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..
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 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 ..
Job Information Humana Senior Business Intelligence Engineer - Wellness in San Juan Puerto Rico Description The Senior Business Intelligence Engineer - Wellness solves complex business problems and issues using data from ..
... 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..
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 ..
... 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 ..
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 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 ..
