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... building provider relationships and expanding business opportunities. Prior business “ownership” and operating experience within ... and their impact on payer/provider business models is required, as is ... the continuum..
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... will be responsible for the development and management of positive, long-term ... excellence. Decisions and responsibilities include development of effective DCE/participating provider relationships, ... between DCE and participating providers,..
... Clinical Analytics and Trend Program Manager in Honolulu Hawaii Description The ... Practice Lead builds strategies for development, engagement, best clinical practices and ... Clinical Analytics & Trend Program..
... variable factors. Responsibilities Humana Government Business's (HGB) Behavioral Health Medical Director ... also provide leadership in the development of new products and services ... to value-based care initiatives and..
Job Information Humana Technical Product Manager - Remote in Honolulu Hawaii ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... or industries such as software development,..
Job Information Humana Medical Director of Trend Analytics in Honolulu Hawaii Description Humana's ECM organization is seeking a Medical Director of Trend Analytics. As a clinical trend leader you will support ..
Description The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare, requires and in-depth understanding ..
... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary. The PDC Care..
Job Information Humana Product Manager Lead, Pharmacy Transformative Products Team, ... evaluating, and deploying new transformational business opportunities to support Humana Pharmacy's ... and leading OTC associated novel business opportunities..
Job Information Humana Senior Data Manager - Primary Care Organization in ... Hawaii Description The Senior Data Manager supports all aspects of configuration ... deficiency reporting. The Senior Data Manager..
Job Information Humana Senior Product Manager, Remote in Honolulu Hawaii Description ... Hawaii Description The Senior Product Manager Conceives of, develops, delivers, and ... customer use. The Senior Product Manager..
... liaison and collaborates with the business and functional stakeholders to identify ... associates. Responsibilities Works closely with business partners and other IT teams ... allocation of resources and team..
Job Information Humana Manager, Utilization Management RN - Remote ... in Honolulu Hawaii Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
... change. Responsibilities The Senior Product Manager Leads all phases of the ... products and uses customer and business partner feedback to ensure products ... constant change Computer science, software..
Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... lead cross-functional stakeholders to gather business requirements..
... with other analytics, IT and business areas across the organization to ... and delivering on Health Informatics business initiatives. The Director of Health ... with other analytics, IT and..
Description The Manager, Software Engineering codes software applications ... codes software applications based on business requirements. The Manager, Software Engineering works within specific ... schedules and goals. Responsibilities The Manager,..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an accomplished healthcare leader for the newly-created role ... quality, appropriate, and cost-effective behavioral..
... of services provided by other healthcare professionals in compliance with review ... as a focus on collaborative business relationships, value-based care, population health, ... whether services provided by other..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Honolulu Hawaii Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
... clinical operations delivery, Preauthorization List development and governance, Mental Health Parity, ... processes are in place; Support development of national clinical staffing models ... *Bachelor's Degree in health or..
Job Information Humana Manager, Utilization Management Nursing - Medicare ... in Honolulu Hawaii Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..