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29

Healthcare Operations Analyst Jobs in Maine

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Company
**********
Location
Portland, ME
Posted Date
Mar 24, 2021
Info Source
Employer  - Full-Time  90  

Description The Senior Compensation Professional develops, implements, and administers compensation programs. The Senior Compensation Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
Portland, ME
Posted Date
Mar 31, 2021
Info Source
Employer  - Full-Time  90  

Description The Medicaid Clinical Strategy Lead delivers new clinical technological solutions to meet Medicaid business needs within a specified scope while aligned to enterprise objectives. The Medicaid Clinical Strategy Lead works ..

 
Company
**********
Location
Portland, ME
Posted Date
Apr 04, 2021
Info Source
Employer  - Full-Time  90  

Description The Supervisor, Consultative Pharmacy Technicians certified Pharmacy Technician who acts as an intake for all calls from patients, pharmacies and providers. The Supervisor, Consultative Pharmacy Technicians works within thorough, prescribed ..

 
Company
Location
Portland, ME
Posted Date
Sep 06, 2021
Info Source
Employer  - Full-Time  90  

... and services. Partners closely with operations, vendors, customer success teams and/or ... insights Bachelor's degree in Business, Healthcare Administration or other related fields ... 50 market leader in integrated..

 
Company
**********
Location
Portland, ME
Posted Date
Apr 04, 2021
Info Source
Employer  - Full-Time  90  

Description The Lead Product Manager for Specialty products leads all phases of the product life cycle for Dental, Vision and Life products, from inception to introduction into the marketplace. Responsibilities Position ..

 
Company
Location
Portland, ME
Posted Date
Jun 02, 2021
Info Source
Employer  - Full-Time  90  

Description The Senior Application Architect designs and develops IT applications and architects solutions to business problems in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments ..

 
Company
Location
Portland, ME
Posted Date
Jul 09, 2021
Info Source
Employer  - Full-Time  90  

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. ..

 
Company
**********
Location
Portland, ME
Posted Date
Jul 27, 2021
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
Location
Portland, ME
Posted Date
Oct 06, 2021
Info Source
Employer  - Full-Time  90  

Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..

 
Company
**********
Location
Portland, ME
Posted Date
Apr 11, 2021
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Portland, ME
Posted Date
Apr 04, 2021
Info Source
Employer  - Full-Time  90  

Job Information Humana Senior Product Management Professional / Release Train Engineer in Portland Maine Description The Senior Product Management Professional / Release Train Engineer must be able to lead, plan and ..

 
Company
**********
Location
Portland, ME
Posted Date
Jul 27, 2021
Info Source
Employer  - Full-Time  90  

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..

 
Company
**********
Location
Portland, ME
Posted Date
Jun 26, 2023
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Portland, ME
Posted Date
May 30, 2021
Info Source
Employer  - Full-Time  90  

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 ... Qualifications Bachelor's degree in Business, Healthcare,..

 
Company
**********
Location
Portland, ME
Posted Date
Apr 09, 2021
Info Source
Employer  - Full-Time  90  

Description The Care Management Support Assistant 3 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..

 
Company
**********
Location
Portland, ME
Posted Date
Aug 01, 2021
Info Source
Employer  - Full-Time  90  

Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..

 
Company
**********
Location
Portland, ME
Posted Date
Aug 05, 2021
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Portland, ME
Posted Date
May 02, 2021
Info Source
Employer  - Full-Time  90  

Description The Senior Clinical Pharmacy Advisor - Trend, is a dynamic role within Humana. We are seeking a positive and proactive individual to contribute to a high performing team that helps ..

 
Company
**********
Location
Portland, ME
Posted Date
May 13, 2021
Info Source
Employer  - Full-Time  90  

Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..

 
Company
**********
Location
Portland, ME
Posted Date
Jun 11, 2021
Info Source
Employer  - Full-Time  90  

Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism Care Demonstration ..

 
Company
Location
Portland, ME
Posted Date
May 16, 2021
Info Source
Employer  - Full-Time  90  

Description The Behavioral Health Parity Compliance Lead will play an integral role in the oversight and management of our Mental Health Parity Compliance Program. Responsibilities This role is responsible for monitoring ..

 
Company
**********
Location
Portland, ME
Posted Date
Aug 07, 2021
Info Source
Employer  - Full-Time  90  

Description Humana Special Needs Plans provide personalized guidance and resources to help members get the right care and information based on their specific condition or needs. Beneficiaries qualify with the following ..

 
Company
Location
Portland, ME
Posted Date
May 12, 2021
Info Source
Employer  - Full-Time  90  

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..

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