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Description The Senior Medical/Financial Risk Evaluation Professional is responsible ... development, implementation and monitoring of medical/financial risk. The Senior Medical/Financial Risk Evaluation Professional work assignments ... - working to meet..
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Description The Account Management Financial Analyst analyzes and forecasts financial, economic, and other data to ... strategic and operational decisions. This Financial Analyst work assignments are varied and ... and..
Description The Financial Reporting Lead prepares and distributes ... Lead prepares and distributes periodic financial statements for users other than ... employed by the organization. The Financial Reporting Lead works..
... 60 market leader in integrated healthcare with a clearly defined purpose ... us redefine the future of healthcare. With a history of transformation ... about solving big problems in..
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 Humana is seeking a Director of Strategy with significant strategy consulting experience to manage and deliver strategy projects and analysis on behalf of our Medicare Prescription Drug Plan business. You'll ..
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..
... Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... information for claims reserve valuation, financial forecasting, and strategic and operational ... Delivery Finance. Evaluates industry, economic,..
Description The Business Intelligence Lead solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Lead works on problems of ..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..
... Actuary, Analytics/Forecasting will develop the financial forecast for the dental and ... Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... business intelligence. Evaluates industry, economic,..
Description The Pharmacy Clinical Advisor Professional 2 is an integral part of the Pharmacy Stars team which is accountable for Humana's Patient Safety and medication related Star measure performance. The Pharmacy ..
Description The Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of ..
... corporate and consumer needs. Analyzes financial impact of contracts and terms. ... and network administration in a healthcare company or healthcare system Medicaid behavioral health contracting ... in analyzing,..
Description The Pharmaceutical Manufacturer Relations Executive ensures the Pharmacy trade strategy aligns with formularies and the desired health outcomes of patients. The Pharmaceutical Manufacturer Relations Executive works on problems of diverse ..
Description The Compliance (UM) Lead conducts and summarizes compliance audits. The Compliance (UM) Lead works on problems of diverse scope and complexity ranging from moderate to substantial. Responsibilities The Compliance (UM) ..
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 ..
Description Responsibilities This role within the Autism Care Demonstration (ACD) Team, will work closely with Care Management leaders and Subject Matter Experts in the areas of Case Management, Utilization Management and ..
... that deliver clinical, experiential and financial outcomes. Build and manage a ... solutions that achieved clinical and financial outcomes Competence working on very ... insights Bachelor's degree in Business,..
Description The Informaticist 2 coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informaticist 2 work assignments are ..
Description The Senior Value-Based Financial Analyst supports successful value-based provider relationships ... well-being Responsibilities The Senior Value-Based Financial Analyst advises executives to develop functional ... best course of action. Produces..
Description Healthcare isn't just about health anymore. ... of our patients, and the healthcare industry. The Senior Provider Contracting ... reimbursement rates to providers. Analyzes financial impact of contracts and..
Description The Financial (Pricing) Analyst analyzes and forecasts financial, economic, and other data to ... strategic and operational decisions. This Financial Analyst work assignments are varied and ... Pharmacy Analytics..
