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Description The UM Specialist contributes to administration of utilization management. The UM Specialist performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. Responsibilities Humana's ..
Description The Senior Vendor Management Professional with Humana manages a ... and workflows in our project management software and demonstrating highly effective ... Qualifications Bachelor's Degree in Business, Finance, Communications..
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Description This position is within the EIP Cyber Threat Intelligence (CTI) Operational Team. The Senior Cyber Intelligence Analyst analyst will focus on understanding and conducting in depth analysis on the threat ..
Description The Senior Channel Development Professional (Senior Professional) will support department and team strategic goals by developing and executing key initiatives to support Mail Order Pharmacy (MOP) & Specialty Pharmacy (HSP) ..
Description The Clinical Trend and Analytics team leverages advanced scientific techniques, forecasting, and machine learning to predict financial and clinical outcomes in order to guide investments that improve health outcomes and ..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..
Description The Cyber Intelligence Threat Analyst (TVM Engineer 2) ensures that threats and vulnerabilities to the organization's business systems and applications (both in-house and cloud-based) are minimized. The Cyber Intelligence Threat ..
Description The Senior IT Project Manager oversees various system projects and programs of a highly complex nature. The Senior IT Project Manager work assignments involve moderately complex to complex issues where ..
Description The Lead Data Scientist uses mathematics, statistics, modeling, business analysis, and technology to transform high volumes of complex data into advanced analytic solutions. The Lead Data Scientist works on problems ..
Description The Supervisor, Provider Engagement develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the contracted working ..
Description The Financial Underwriter 2 computes rates for both renewing and prospective moderate to complex group accounts. The Financial Underwriter 2 work assignments are varied and frequently require interpretation and independent ..
Description The UM Administration Coordinator 1 contributes to administration of utilization management. The UM Administration Coordinator 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments. Responsibilities The ..
... The Senior Demand and Portfolio Management Professional collaborates with the business ... The Senior Demand and Portfolio Management Professional work assignments involve moderately ... The Senior Demand and Portfolio..
Description The Finance Professional 2 analyzes and forecasts ... strategic and operational decisions. The Finance Professional 2 work assignments are ... courses of action. Responsibilities The Finance Professional 2 collects,..
Description The Informatics Principal coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informatics Principal provides strategic advice ..
Description The Corporate Services Portfolio Management Lead collaborates with business portfolio ... work. The Corporate Services Portfolio Management Lead will lead a team ... business capabilities. Responsibilities The Portfolio Management..
Description Healthcare is rapidly changing and we're looking for a Systems Migration Program Manager (SaaS) to lead the way! You will be a key member of the Program Office that manages ..
Description The Business Intelligence Lead will provide senior leaders with data-driven insights regarding retail product distribution. In this role, you will work within the MarketPoint Sales Data and Analytics team and ..
... Care Managers, because our case management services are centered on the ... Previous adult chronic conditions care management. Previous experience in care management. Knowledge of complex care management and..
... standards, and effectively prioritizing threat management to protect the organization. As ... supported security operations and risk management. We have several areas with ... cloud migration. This includes Talent..
Description The Senior Value-Based Programs Professional 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 work assignments are ..