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Job Information Humana Healthcare Lead Product Manager: Chinese and ... product management, customer experience, and business intelligence leaders. The Lead Product ... products and uses customer and business partner feedback..
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Description The Senior Clinical Business Professional manages all aspects of ... within budget. The Senior Clinical Business Professional work assignments involve moderately ... factors. Responsibilities The Senior Clinical Business Professional..
Job Information Humana Healthcare Lead Product Manager: Hispanic Segment ... product management, customer experience, and business intelligence leaders. The Lead Product ... products and uses customer and business partner feedback..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..
Description Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated reporting. The Consumer Service Operations Professional 2 evaluates ..
Description The Senior Value-Based Financial Analyst supports successful value-based provider relationships ... Responsibilities The Senior Value-Based Financial Analyst advises executives to develop functional ... Preferred Qualifications Bachelor's degree in Business,..
... within Humana's growing Medicare Advantage business, as well as pricing and ... Associate Actuary, present forecasts to business stakeholders, and work collaboratively to ... and works directly to support..
... as a focus on collaborative business relationships, value based care, population ... whether services provided by other healthcare professionals are in agreement with ... Delivery Systems, health insurance, other..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
... broad, advanced product experience and business acumen. Responsibilities As the Director ... to pay and builds ROI-driven business plans. Collaborates with other product ... communicate with a variety of..
... is look for a Senior Business Systems Analyst to join working remote anywhere ... in the US! The Senior Business Systems Analyst performs analysis of business, process and user..
... building Experience working with cross-functional business areas Role Desirables Bachelor's Degree ... degree Advanced degree in a healthcare-related field Knowledge of NCQA accreditation ... & Health Promotion Accreditation, Multicultural..
Description The Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The Staff Utilization Management Pharmacist work assignments involve moderately ..
Description The Clinical Data and Reporting Professional 2 generates ad hoc reports and regular datasets and reporting for clinical leadership decision making. The Clinical Data and Reporting Professional 2 also pulls ..
... products and uses customer and business partner feedback to evaluate product ... and at industry events for business development opportunities. Attends & actively ... Product to support market new..
... Medicaid Quality Data and Reporting Analyst generates ad hoc reports and ... Medicaid Quality Data and Reporting Analyst will be responsible for the ... with a focus on creating..
... Professional 2 is responsible for business and financial support of clinical ... to design, communicate, and implement business strategies and operational plans, in ... Clinical Program Leads and Program..
... with other analytics, IT and business areas across the organization to ... it builds knowledge of the business context in which it operates. ... the appropriate level, impacts the..
... testing and quality collaboration between Business and IT, guiding test strategies ... Reduce Cross-Functional Barriers & Establish Business Collaboration -Lead large-scale software testing ... team. -Collaborate with leaders across..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships ... goals. The Senior Value-Based Programs Analyst works on problems of diverse ... Responsibilities The Senior Value-Based Programs Analyst..
... growth opportunities and work with business leaders to prioritize strategic investments ... industry analysis, building high level financial/business modeling, conducting qualitative analysis (e.g. ... services to Humana's lines of..
Description The Senior Product Manager conceives of, develops, delivers, and manages products for customer use. The Senior Product Manager work assignments involve moderately complex to complex issues where the analysis of ..
