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Description Responsibilities Where you Come In The Manager, Medical/Financial Risk Evaluation identifies, assesses, and mitigates any medical or financial risk that arises from inadequate or failed processes, people, systems, or external ..
Description The Workforce Management Professional 2 applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, ..
... Information Humana Provider Senior Project Manager/Medicaid-Remote/Virtual in US in Jersey City ... Jersey Description The Senior Project Manager manages all aspects of a ... within budget. The Senior Project..
Description The Senior Manager, MarketPoint Sales makes sales presentations to potential qualified Medicare participants at their homes, doctors' offices, etc. using approved governmental guidelines. Initiates sales opportunities with seniors--individually or in ..
Job Information Humana Lead Product Manager - Healthcare API in Jersey City New Jersey Description The Lead Product Manager - Healthcare API (SME) as part of Humana's Enterprise API product team, ..
Job Information Humana Senior Learning Facilitation Professional-Remote in US in Jersey City New Jersey Description The Senior Learning Facilitation Professional will focus on integration and implementation of training solutions for both ..
Description The Manager, Membership and Plan Services (MPS) Risk Management will be responsible to lead a team of risk professional associates to help identify risk, oversee implementation to drive operational excellence, ..
Job Information Humana Associate Director/Grievances and Appeals-Remote/Virtual in US in Jersey City New Jersey Description The Associate Director, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic ..
Job Information Humana Project Manager 2 - Remote in US ... New Jersey Description The Project Manager 2 manages all aspects of ... and within budget. The Project Manager 2..
Job Information Humana Medicaid Project Manager-Remote in US in Jersey City ... New Jersey Description The Project Manager 2 manages all aspects of ... and within budget. The Project Manager..
Job Information Humana Manager, Credentialing in Jersey City New Jersey Description Responsibilities The Manager, Certifications Operations reviews the applicant's education, training, clinical experience, licensure, accreditation, certifications, professional liability insurance, and other ..
Job Information Humana Senior Project Manager - Remote in US in ... Jersey Description The Senior Project Manager manages all aspects of Medicaid ... within budget. The Senior Project Manager..
Description The Manager, STARS Improvement develops, implements, and manages oversight of the company's Medicare Stars Program. This position will manage the Stars improvement team. Responsibilities The Manager, STARS Improvement develops the ..
Job Information Humana Specialty Pharmacy RX Education Manager in Jersey City New Jersey Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, ..
Description The Manager, Risk Adjustment oversees coding educators ... and Medicaid Services (CMS). The Manager, Risk Adjustment works within specific ... schedules and goals. Responsibilities The Manager, Risk Adjustment oversees..
Job Information Humana Manager Learning Design (Remote Work Optional) ... an experienced people leader. The Manager, Learning Design uses instructional design, ... knowledge or performance gap. The Manager, Learning Design..
Job Information Humana Senior Learning Design Professional: REMOTE/WORK AT HOME (Anywhere in the US) in Jersey City New Jersey Description The Senior Learning Design Professional analyzes content, organizes content, designs solutions, ..
Job Information Humana UM Administration Coordinator 2 (Schedule: Monday - Friday) - Remote in Jersey City New Jersey Description The UM Administration Coordinator 2 contributes to administration of utilization management. The ..
Job Information Humana Director, Contract Tools, Education, Processes (remote Eastern time zone) in Jersey City New Jersey Description The Director, Contract Tools, Education, Processes manages templates, standard documentation, policy and protocol, ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... New Jersey Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Job Information Humana Manager, Fraud and Waste-Remote US in ... City New Jersey Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Job Information Humana Specialty Pharmacy RX Enrollment Manager in Jersey City New Jersey Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, ..
Job Information Humana RN-Care Manager, Behavioral Health-RN in an eNLC ... New Jersey Description The Care Manager, Telephonic Behavioral Health 2, in ... wellbeing of members. The Care Manager, Telephonic..