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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 Location: Work from Home KY Medicaid Medical Director - The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given ..
... 60 market leader in integrated healthcare whose dream is to help ... productive. The Digital Health and Analytics organization is seeking a talented ... of cloud native platforms and..
... and/or provision of consumer-centric, integrated healthcare to help millions of Humana ... strategic initiatives and in our healthcare platform to develop and maintain ... broad understanding of the integrated..
... annual policy and file audits, data maintenance, etc. Assist with review ... department workflows, tools, etc. Assists Manager in monitoring the financial operation ... Certification (CPCS) Advanced degree in..
... forecasts financial, economic, and other data to provide accurate and timely ... to the larger Finance and Analytics team. Responsibilities The Financial Analyst ... will work with Finance and..
Description Healthcare is rapidly changing, and our ... prioritized implementation plan, informed by data analytics, and measured by process and ... for implementation. They must have healthcare strategy experience, Care..
... healthy partnerships, collaborations, engagement, and data driven analysis, so also is ... inequity and associate/community mitigation measures Data, Analytics, Training and Development Proven record ... and strategic alignment of..
Description The Senior Clinical Strategy and Practice Professional builds strategies for development, engagement, best clinical practices and processes for clinical community within the enterprise The Senior Clinical Strategy and Practice Professional ..
Job Information Humana Clinical Analytics and Trend Program Manager in Louisville Kentucky Description The ... to substantial. Responsibilities The Clinical Analytics & Trend Program Manager role designs, communicates, and implements..
... The Director, Strategy Advancement provides data-based strategic direction identifying and delivering ... set on transforming the US healthcare system and making real improvements ... Medicare and Medicaid), by leveraging..
Job Information Humana Healthcare Lead Product Manager: Hispanic Segment Medicare Advantage in ... Kentucky Description The Lead Product Manager Conceives of, develops, delivers, and ... customer use. The Lead Product..
Description The Experience Strategy & Transformation Lead enhances the consumer experience by architecting experiences and building capabilities that will positively impact our customers. The Experience Strategy & Transformation Lead works on ..
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 ..
Job Information Humana Healthcare Lead Product Manager: Chinese and Korean Segment Medicare ... Kentucky Description The Lead Product Manager Conceives of, develops, delivers, and ... customer use. The Lead Product..
... needs your clinical, business and analytics acumen to solve for the ... acumen to solve for the healthcare challenges of today. The Clinical ... challenges of today. The Clinical..
... forecasts financial, economic, and other data to provide accurate and timely ... connections to the larger Pharmacy Analytics team. Responsibilities The Financial Analyst ... will work with Finance and..
... Responsibilities The Digital Health and Analytics organization is seeking a talented ... provides solutions that drive enterprise Analytics and Machine Learning platforms across ... of cloud native platforms and..
