Healthcare Process Analyst Jobs

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..

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

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 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 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 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 ..

... 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 Springfield Missouri Description The Lead Product Manager Conceives of, develops, delivers, and manages products for Chinese 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 Medicaid Associate Director, Compliance Nursing in Springfield Missouri Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..

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 ..

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 ..

Description The Pharmacy Clinical Advisor Professional 2 is an integral part of the Pharmacy Stars team which is accountable for Humana's Patient Safety and medication related Star measure performance. The Pharmacy ..

Description The Actuarial Analyst 1, General provides actuarial support ... specific product lines. The Actuarial Analyst 1, General work assignments are ... moderate complexity. Responsibilities The Actuarial Analyst 1, General..

Job ID 21000GNRAvailable Openings 1Position Specific Information This position will cover the following clinics in the Springfield, Massachusetts area: Pioneer Valley Dialysis, Western Mass Kidney Center, East Springfield Dialysis, Palmer Dialysis, ..

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 ..

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

Job Information Humana Healthcare Lead Product Manager: Hispanic Segment Medicare Advantage in Springfield Missouri Description The Lead Product Manager Conceives of, develops, delivers, and manages products for Hispanic MA customer use. ..

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 Clinical Data and Reporting Professional 2 generates ad hoc reports and regular datasets and reporting for clinical leadership decision making. The Clinical Data and Reporting Professional 2 also pulls ..

... 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 .....

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..

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,..