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... to drive innovation and transformative business results. The SA role embodies ... customers Thought Leaders (TL) and Healthcare Providers (HCP) within assigned geography. ... Actively assess the medical and..
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... products and uses customer and business partner feedback to ensure products ... Support strategic initiatives for Medicare business including growth, retention, member experience, ... Role Essentials Bachelor Degree in..
... 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..
Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism Care Demonstration ..
Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and proactive individual to contribute to a high performing team that ..
Description Come join the Digital Health & Analytics (DH&A) team within Humana to build a world class Data Science and Insights enterprise capability leveraging digital-first platforms, analytics, and agile development methodologies. ..
... Required Qualifications Bachelor's Degree in Business, Accounting, Finance, Healthcare Administration and/or related field 5 ... job as we are a healthcare company committed to putting health ... Preferred Qualifications..
... 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..
Description The Senior Risk Management Professional a critical member within Humana's Third Party Risk Management Program (TPRM), a 2nd Line of Defense function, will be responsible for maturing our program by ..
... 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 The Senior Physician Recruiter recruits qualified physicians for medical staff and assists in development of strategic physician recruitment plans. The Senior Physician Recruiter work assignments involve moderately complex to complex ..
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,..
... 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..
... 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..
... Humana is a Fortune 60 healthcare company with a history of ... well-being, and innovation guide our business practices and culture. We're not ... company: our diverse lines of..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an ..
... fact, you'll be the overall business owner of predictive risk analytics ... risk analytics for our new business and renewal rating, and will ... responding to the needs of..
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 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 ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in San Juan Puerto Rico Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, ..
Description The Clinical Recruiter recruits and interviews prospective employees for hourly and salaried positions for our Care Delivery Organization. Humana is seeking a recruiter who is a self-starter, able to work ..
... Management team needs your clinical, business and analytics acumen to solve ... acumen to solve for the healthcare challenges of today. The Clinical ... collaboratively with clinicians, actuaries and..
