Healthcare Process Analyst Jobs

GENETICS & GENOMICS PSYCHIATRY FACULTY POSITION (Open Rank (Inst/Assist/Assoc/Prof) Commensurate with Experience) DEPARTMENT of PSYCHIATRY & BEHAVIORAL NEUROSCIENCE UNIVERSITY of CINCINNATI College of Medicine     The College of Medicine, Department of Psychiatry ..

Current UC employees must apply internally via SuccessFactors > http://bit.ly/UCEMPL   Research Associate Department of Radiology UNIVERSITY of CINCINNATI College of Medicine   Essential Function:   Applies professional knowledge, skills, and training to help ..

Internal applicants must apply internally via SuccessFactors > http://bit.ly/UCEMPL   The Division of General Internal Medicine is recruiting a part-time (65% FTE) Research Associate. This position will apply professional knowledge, skills, and ..

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 ..

Description The Senior Risk Management Professional will be responsible for managing third party risk management (TPRM) work streams to support Humana's overall TPRM Program. Responsibilities include risk identification, data analysis, process ..

Description The Senior Medicaid Quality Data and Reporting Analyst generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and ..

Description Responsibilities The Senior Business Systems Analysis Professional formulates and defines systems and objectives based on both user needs and a good understanding of applicable business systems and industry requirements. Devises ..

... for a Senior Business Systems Analyst to join working remote anywhere ... US! The Senior Business Systems Analyst performs analysis of business, process and user needs, documentation of .....

Job Information Humana Sr. Clinical Recruiter - VSP( Variable Staffing Pool) in Cincinnati Ohio Description The Senior Recruiter interviews prospective employees for hourly and salaried positions. Assists with university graduate and ..

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..

Job Information Humana Clinical Recruiter 2 - VSP in Cincinnati Ohio Description The Clinical Recruiter 2 interviews prospective employees for hourly and salaried positions. Assists with Pharmacy recruiting from entry level ..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Cincinnati Ohio Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..

Description The Senior Demand and Portfolio Management Professional collaborates with the business portfolio team to align the IT portfolio and demand. The Senior Demand and Portfolio Management Professional work assignments involve ..

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,..

... and delivering on initiatives and process capabilities that enable improved effectiveness, ... identify, advise, lead and facilitate process improvement opportunities. KEY ACCOUNTABILITIES Process Improvement and Project Management Contributes .....

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 The Process Improvement Lead analyzes, and measures ... sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems ... to substantial. Responsibilities The successful Process..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Description The Staff Clinical Pharmacist- Clinical Formulary Administration monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge ..

... multiple priorities Commitment to continuous process improvement Exceptional verbal and written ... degree Advanced degree in a healthcare-related field Knowledge of NCQA accreditation ... & Health Promotion Accreditation, Multicultural..

Job Information Humana Healthcare Lead Product Manager: Chinese and Korean Segment Medicare Advantage in Cincinnati Ohio Description The Lead Product Manager Conceives of, develops, delivers, and manages products for Chinese and ..

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 ..

Description The Director, Process Improvement analyzes, and measures the ... sustainable, repeatable and quantifiable business process improvements. The Director, Process Improvement requires an in-depth understanding ... or segment. Responsibilities The..