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... reducing waste and overuse of healthcare services, while encouraging high value ... Trend (CAT) team needs your healthcare, analytic, and research acumen to drive clinical opportunities ... clinical opportunities..
We welcome you to apply if interested! You will be asked to create an account, which takes less than one minute and requires only a username and password. The entire application ..
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 mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..
... regulatory and health plan guidelines. Research and document all encounter errors ... and process issues. Review and research inquiries from regulatory bodies and/or ... Qualifications Bachelor's degree in a..
Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain high quality ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
... reviews/evaluation, clinical policy strategy development, research, P&T committee oversight, and accreditation. ... mitigate cost while improving health outcomes. He/she requires an in-depth understanding ... audited Works closely with our..
Job Information Humana Director, Informatics in Charleston West Virginia Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights ..
Description The Healthcare Financial Analyst collects, analyzes, and ... and member experience to financial outcomes. Responsibilities The East Central Region ... Central Region is seeking a Healthcare Financial Analyst to..
... We deliver value through detailed research, data-driven insights, strategic planning, structured ... attributes: Creative - Adept at research to determine the opportunity and ... wellness innovation strategy. Conducts market..
