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Description Healthcare Business Continuity Analyst- ITIL **Must have experience working ... planning, risk management, change management, data classification and asset management concepts. ... software development life cycle (SDLC), quality and..
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Description The Senior Quality Engineer carries out procedures to ... and end-user requirements. The Senior Quality Engineer work assignments involve moderately ... the analysis of situations or data requires an..
... acumen to solve for the healthcare challenges of today. The Clinical ... team uses advanced scientific techniques, data analysis, forecasting, and clinical acumen ... various analytical organizations to lead..
... the analysis of situations or data requires an in-depth evaluation of ... recommend opportunities to optimize vendor quality Facilitate the measurement of success ... and/or service level oversight including..
Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and proactive individual to contribute to a high performing team that ..
... state-of-the art lab facilities, best-in-class data sources, training, and opportunities to ... Analyze and synthesize findings with data analytics, past relevant research, market ... reviews, including accessibility reviews. Deliver..
Job ID 21000EI5Available Openings 2 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Description The Senior Medicaid Quality Data and Reporting Analyst generates ad hoc reports and ... system tools and database or data warehouse queries and scripts. In ... the analysis of..
... to build a world class Data Science and Insights enterprise capability ... Through the strategic interpretation of data, we provide our consumers-physicians, patients, ... and analyzing diverse types of..
... leverages its advanced knowledge of data, modeling, optimization, and tools. Applies ... that improve the outcomes and quality of the programs we offer. ... operates. Understands and analyzes complex..
... Market Research Professional 2 performs data analysis supporting learning plans via ... consumer behavioral, demographic, and attitudinal data. The Market Research Professional 2 ... Market Research Professional 2 uses..
... acumen to solve for the healthcare challenges of today. The Clinical ... team uses advanced scientific techniques, data analysis, forecasting, and clinical acumen ... their skills to assist with..
... Member Plan (EFMP), auditing for quality and clinical compliance, and case ... entry and review of CDRL data pertaining to the ACD. Review ... compliance with ACD. Monitor for..
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 Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The Staff Utilization Management Pharmacist work assignments involve moderately ..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment Facilities (MTFs) and civilian providers for the ACD program. The ACD Referral Coordinator performs varied ..
... policy requirements. Ensure provision of quality patient care while maintaining cost-effective ... where analysis of situation or data requires evaluation of a variety ... for supporting and driving FMS..
Description The Principal Quality Leader will lead testing and ... Leader will lead testing and quality collaboration between Business and IT, ... tools and assure adherence to quality standards. Serves..
... relationships with physicians, providers and healthcare systems in order to support ... support and improve financial and quality performance within the contracted working ... the analysis of situations or..
... Sr. Consumer Experience Professional performs data analysis supporting learning plans via ... consumer behavioral, demographic, and attitudinal data. The Sr. Consumer Experience Professional ... the analysis of situations or..
Description The Staff Consultative Pharmacist consults with patients, pharmacies and providers to provide patient care in the form of optimal medication therapy. The Staff Consultative Pharmacist work assignments involve moderately complex ..
