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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 ..
... 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 ..
... Humana Nationwide Medicaid Behavioral Health Quality Lead in Riverton Wyoming Description ... Wyoming Description The Behavioral Health Quality Lead will report directly to ... directly to the National Medicaid..
Job Information Humana Senior Data and Reporting Analyst - Remote in Riverton Wyoming ... Riverton Wyoming Description The Senior Data and Reporting Analyst supports the success of Humana's ... our..
Job Information Humana Senior Copy Writer in Riverton Wyoming Description Humana's The Hive is looking for a Senior Copy Writer to join the team! The Hive is Humana's in-house agency, a ..
Job Information Humana Senior Financial Analyst - Remote in Riverton Wyoming ... vision is to improve member healthcare through innovative analytics and actionable ... and providers to drive higher quality,..
... staff meets all productivity and quality standards. This leader must have ... routine audits to ensure successful quality performance outcomes and compliance standards ... the promotion of the multi-disciplinary..
Job Information Humana Data Scientist II in Riverton Wyoming ... in Riverton Wyoming Description The Data Scientist 2 uses mathematics, statistics, ... transform high volumes of complex data into advanced..
Description The Data and Reporting Professional II generates ... system tools and database or data warehouse queries and scripts. The ... warehouse queries and scripts. The Data and Reporting Professional..
Description The Oncology Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization, with a focus on oncology requests. The Oncology ..
Job Information Humana Senior Innovation Portfolio Strategy Professional in Riverton Wyoming Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives that ..
... works with solution engineering and Quality teams to drive products from ... to standardize cloud environments. Evaluate data patterns/outliers and derive insightful knowledge ... cloud services and resources. Executes..
... development of our innovative clinical data products, focusing on data-driven clinical insights using the latest ... and product roadmap for clinical data products, aligning with organizational goals ... with..
Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Riverton Wyoming Description Humana ... Healthy Horizons is seeking a Quality Improvement Program..
... Information Humana Senior Value-Based Programs Reporting/Data Professional - Louisville, KY or ... Description The Senior Value-Based Programs Reporting/Data Professional builds templates, standard documentation, ... concerning Humana's Primary Care Physician..
... seeking candidates with passion for data and solving complex problems when ... working with incredible volumes of data to uncover insights, working closely ... closely with business intelligence leaders,..
... ensuring operationalization of key growth, quality and efficiency strategies. This includes ... Public Health Administration, Public Policy, Healthcare Economics, Business or related field ... Demonstrated expertise in population health,..
... public policy positions such as: data; resources; subject matter experts; and ... 5 or more years of healthcare policy experience including a track ... research, and resource development supporting..
... motivated to transform today's complex healthcare processes into by building analytical ... processes into by building analytical data lakes for data science and machine learning? We ... team player..
... the analysis of situations or data requires an in-depth evaluation of ... closing opportunities. Drives improvement of quality outcomes for providers through in-person, ... coding (i.e. identify deficiencies in..
... positively impacting members and caregivers quality of life Responsibilities The Strategy ... The Strategy Advancement Lead provides data-backed strategic direction to identify and ... and care manager experience, clinical..