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Description The Senior Data Architect is responsible for developing blueprints for all data repositories, evaluating hardware and software platforms, and integrating systems. Translates business needs into long-term data architecture solutions. Defines, ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
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Comcast brings together the best in media and technology. We drive innovation to create the worlds best entertainment and online experiences. As a Fortune 50 leader, we set the pace in ..
Description The Senior Quality Assurance, Clinical Professional requires being both a nurse/RN and a certified Coder nurse as this position will be cross trained to review DRG (Diagnosis Related Group) audits ..
Description The M&A Lead Solutions Architect works with Humana's technology organization and our internal user groups to solve Integration initiatives with available technology including hardware, software, databases, and peripherals. The Lead ..
Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..
Description The Care Delivery Tele Sales Agent conducts selling activities related to inbound and outbound calls within a care delivery setting. The Care Delivery Tele Sales Agent work assignments are varied ..
Description The Process Improvement Professional 2 analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Professional 2 work assignments ..
Description The CyberSecurity Operations Center Engineer 2 will become part of a Technology Support And Engineering Team that supports, maintains and establishes technical direction for the Certification Authorities (CA), Registration Authorities ..
Description The Business Systems Analysis Professional 2 performs analysis of business, process and user needs, documentation of requirements, cost/benefit analysis and translation into proper system requirement specifications and EMR configuration. The ..
Description The Quality (Non-Calls) Professional 2 ensures that products meet certain standards of quality. The Quality (Non-Calls) Professional 2 work assignments are varied and frequently require interpretation and independent determination of ..
Description The Lead Quality Engineer carries out procedures to ensure that all information systems products and services meet organization standards and end-user requirements. The Lead Quality Engineer works on problems of ..
Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse work assignments are varied ..
Description The Supervisor, Utilization Management will lead a team of Utilization Coordinators that supports the Prior Authorization team for the Florida Medicaid market. The Supervisor will lead a team on non-clinical ..
Description Humana is looking for an experienced EAP Counselor that truly enjoys helping those in need within a call center environment. Our EAP Counselor's provide ongoing and crisis intervention counseling focused ..
