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Job Information Humana Healthcare Lead Product Manager: Chinese and Korean Segment Medicare Advantage in Fargo North Dakota Description The Lead Product Manager Conceives of, develops, delivers, and manages products for Chinese ..
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Job Information Humana Clinical Recruiter 2 - VSP in Fargo North Dakota Description The Clinical Recruiter 2 interviews prospective employees for hourly and salaried positions. Assists with Pharmacy recruiting from entry ..
Job Information Humana Healthcare Lead Product Manager: Hispanic Segment Medicare Advantage in Fargo North Dakota Description The Lead Product Manager Conceives of, develops, delivers, and manages products for Hispanic MA customer ..
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 ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Fargo North Dakota Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and ..
Job Information Humana Sr. Clinical Recruiter - VSP( Variable Staffing Pool) in Fargo North Dakota Description The Senior Recruiter interviews prospective employees for hourly and salaried positions. Assists with university graduate ..
... the analysis of situations or data requires an in-depth evaluation of ... phase Obtain and synthesize complex data in order to tell t ... team (operations, technology, clinical partners,..
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..
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 ..
... forecasts financial, economic, and other data to provide accurate and timely ... operational decisions. Establishes metrics, provides data analyses, and works directly to ... Responsibilities The Actuary, Analytics/Forecasting ensures..
Description The Senior Medicaid Quality Data and Reporting Analyst generates ad hoc reports and ... system tools and database or data warehouse queries and scripts. In ... the analysis of..
Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..
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 ..
... leverages its advanced knowledge of data, modeling, optimization, and tools. Applies ... operates. Understands and analyzes complex data, articulates to various units within ... 2 - 5 years of..
Description The Actuary, Pricing MA-PD is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new ..
... working with key partners and data analyst(s). Required Qualifications Bachelor's degree or ... to 5 years of technical healthcare experience Exceptional oral and written ... Proven ability to perform..
... for a Senior Business Systems Analyst to join working remote anywhere ... US! The Senior Business Systems Analyst performs analysis of business, process ... specifications. The Senior Business Systems..
Description Responsibilities Humana's Corporate Strategy team is a small, high-performing organization that works closely with Humana's senior leadership to chart the course for the company's future. Within Strategy Operations, you will ..
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 ... of new value-based models through data..
Description The Clinical Data and Reporting Professional 2 generates ... leadership decision making. The Clinical Data and Reporting Professional 2 also ... Reporting Professional 2 also pulls data out of..
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 ..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment Facilities (MTFs) and civilian providers for the ACD program. The ACD Referral Coordinator performs varied ..
