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RN Quality Management Coordinator','Full-time','Nursing - RN','Full Time','Full Time','80','80','Occasional','Occasional','TEXAS-HOUSTON-ST LUKES MEDICAL CENTER','','!*!Catholic Health Initiatives St. Luke's Health is a health system located in the Greater Houston area. It is a part of ..
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Risk Manager - RN','Full-time','Professional Clinical/Allied Health','Full Time','Full Time','80','80','Occasional','Occasional','TEXAS-HOUSTON-ST LUKE VINTAGE','','!*!CHI St. Luke's Health–The Vintage Hospital provides high quality, compassionate care for residents of the Tomball and Northwest Houston areas. The Vintage ..
Clinical Quality Specialist (M-F, Days) Full Time','Full-time','Professional Non-Clinical','M-F, Days','M-F, Days','80','80','Occasional','Occasional','TEXAS-THE WOODLANDS-ST LUKE WOODLANDS','','!*!The Woodlands Hospital A primary and secondary care hospital serving North Harris and Montgomery counties. Clinical services include cardiovascular ..
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. ..
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 ..
RN Quality Management Coord - Quality (Days) FT','Full-time','RN','FT','FT','80','80','Occasional','Occasional','TEXAS-SUGAR LAND-ST LUKE SUGAR LAND','','!*!CHI St. Luke’s Sugar Land is an acute care hospital offering medical and surgical services to the Fort Bend community. ..
Job Information Humana Senior EAP On-Site Consultant (Part-Time) - Dallas, TX in Dallas Texas Description The EAP On-Site Consultant at a key financial industry account provides assessment, referral, and short-term counseling ..
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 ..
... 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..
Decision Support Financial Analyst','26500-98324','United States-Texas-Irving-North Texas Division Office','Full-time','Finance Acctg ... planning and design stages through implementation, as needed.• Manages customer expectations ... or Finance experience in a healthcare environmentBachelor’s Degree..
Description In order to make lasting, positive impact and change in the healthy equity of the communities we serve, leveraging the support of key stakeholders will be critical. As healthy equity ..
... to: Supports the development and implementation of quality improvement interventions and ... degree Advanced degree in a healthcare-related field Knowledge of NCQA accreditation ... & Health Promotion Accreditation, Multicultural..
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 ..
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 ..
Description The Hospital Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Hospital Contracting Executive works on problems ..
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 ..
... moderate to substantial. Responsibilities Humana Healthcare Research (HHR) needs your analytical ... tell a compelling story about healthcare today. Through the design and ... today. Through the design and..
Description The Associate Director, Problem, Incident and Event Management drives technical support teams to recover services during periods of service disruption or outages to key technology platforms/applications. The Associate Director, Problem, ..
Description o Our search is focused on identifying an individual contributor who will take ownership of Medicare risk adjustment programs that fit best with our providers by implementing operational and clinical ..
Description The Senior Clinical Business Professional is a clinical partner to the Commercial Product Strategy team. The Senior Clinical Business Professional work assignments involve moderately complex to complex issues where the ..
Description The Sr. Consumer Experience Professional performs data analysis supporting learning plans via management and usage of consumer behavioral, demographic, and attitudinal data. The Sr. Consumer Experience Professional work assignments involve ..
Description Healthcare is rapidly changing, and our ... Director, Clinical Management Strategy and Implementation, must be able to continuously ... Management to create a prioritized implementation plan, informed by data..
Description The RN Senior Market Clinical Engagement Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to promote and improve clinical performance and quality outcomes ..