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Description The Business Intelligence Lead solves complex business problems and issues using data ... provide insight to decision-makers. The Business Intelligence Lead works on problems ... moderate to substantial. Responsibilities..
Job Information Humana Clinical Recruiter 2 - VSP in Meridian Idaho Description The Clinical Recruiter 2 interviews prospective employees for hourly and salaried positions. Assists with Pharmacy recruiting from entry level ..
... as a focus on collaborative business relationships, value based care, population ... whether services provided by other healthcare professionals are in agreement with ... management organizations, hospitals/ Integrated Delivery..
Description Humana Special Needs Plans provide personalized guidance and resources to help members get the right care and information based on their specific condition or needs. Beneficiaries qualify with the following ..
Description The Overutilization Review and Monitoring Staff Clinical Pharmacist is a clinical pharmacist that works in Humana's Drug Management Program. This individual conducts case management on at-risk beneficiaries and potential at-risk ..
Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..
Description The Director, Strategy Advancement provides data-based strategic direction identifying and delivering new avenues of growth is a critical company priority, championed by the SVP of Retail Strategy & Product. We're ..
... technological solutions to meet Medicaid business needs within a specified scope ... developing, guiding, and documenting clinical business system and functional processes, influences ... and ensures solutions meet the..
... Collaborates with other pharmacists and healthcare professionals in a team environment ... Manages and communicates line of business priorities Becomes an expert in ... to deliver process improvements and..
... vendors, as needed. Humana Government Business government contract requires U.S. citizenship ... to support trend opportunities or business needs. Includes documenting and delivering ... objectives. Required Qualifications Experience in..
... department. Reviews documentation in all areas/systems utilized by ACD associates to ... course of action. Humana Government Business government contract requires U.S. citizenship ... Qualifications 3 plus years of..
Job Information Humana Sr. Clinical Recruiter - VSP( Variable Staffing Pool) in Meridian Idaho Description The Senior Recruiter interviews prospective employees for hourly and salaried positions. Assists with university graduate and ..
... and executing on Humana's consumer-focused business strategy demands constant negotiation with ... to ensure effective and efficient business results. You will handle services ... and network administration in a..
... 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..
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 ..
... address clinical utilization at a systems level. Responsibilities The ideal candidate ... provider offices throughout the territory, business meetings, and educational offerings. This ... skills. Strong strategic thinking and..
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 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 ..
... of services provided by other healthcare professionals in compliance with review ... whether services provided by other healthcare professionals are in agreement with ... management organizations, hospitals/ Integrated Delivery..
... Manager will work side-by-side with business partners to assist in the ... ideal candidate has experience in healthcare launching digital products and working ... strategy and execution Collaborate with..
... 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..
