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... for validation and support of healthcare providers (oncologists/hematologists/APP/Pharmacists) on our promotional ... Actively assess the medical and healthcare landscape by meeting with TLs/HCPs ... of relevant Health Economics Outcomes..
Description Humana is seeking a Genetic Counselor to assist in the detecting and investigation of potential fraud and provide clinical guidance to the Special Investigators handling the cases. This is an ..
Description The Senior Container & Kubernetes Architect leads the planning, design, and engineering of enterprise-level infrastructure and platforms related to cloud computing. The Senior Container Architect work assignments involve moderately complex ..
Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ..
Description The Actuary, Pricing 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 plans ..
Description ** Role is open to remote/virtual/home office post-covid. Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do ..
Description The Senior GCP Cloud Architect leads the planning, design, and engineering of enterprise-level infrastructure and platforms related to cloud computing. The Senior Cloud Architect work assignments involve moderately complex to ..
Description The Lead Product Manager – Consumer Health develops, delivers, and manages products and member-centric experiences that sit on top of our core medical offerings. Responsibilities The Lead Product Manager - ..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an ..
Description The Senior Software Engineer codes software applications based on business requirements. The Senior Software Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data ..
Description The Senior Quality Compliance Nurse Professional is an integral part of the Ohio Quality Improvement Department. This role will collaborate with internal and external customers to complete fast-paced and time ..
... help realize a digitally enabled healthcare ecosystem. Responsibilities This person will: ... as inception workshop facilitation, design research and quantitative analysis Demonstrate expertise ... go-to-market models, customer / market..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
... related field Proficiency in understanding Healthcare related data Expertise in data ... creating analytics solutions for various healthcare sectors Expertise in Humana’s claims ... in Humana’s claims data, and..
Description The Care Management Support Assistant 2 contributes to administration of Care Management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..
Description The M&A Lead Solutions Architect works with Humana's technology organization and our internal user groups to solve Integration initiatives with available technology including hardware, software, databases, and peripherals. The Lead ..
Description Responsibilities The Associate Director, Actuarial Pricing establishes market level financial metrics to align with segment profitability goals, analyzes market level results and projections and develops recommended pricing actions to address ..
Job Information Humana Senior Onboarding Command Center in Canton Ohio Description The Senior Desktop/End User Support Engineer maintains, repairs, and troubleshoots desktop hardware and software packages. Also responsible for customer service ..
Description Be part of an IT team focused on maximizing business technology value while providing guidance and structure on risk and controls. As a Citizen Development Governance, Risk and Compliance (GRC) ..
Description The Lead Enterprise Architect translates business needs into systems solutions and architectural roadmaps. The Lead Enterprise Architect works on problems of diverse scope and complexity ranging from moderate to substantial ..
Description The Senior Pharmacy Channel Development Professional will identify, develop, and expand relationships with third party partners and clients to increase Humana's Mail Order Pharmacy market share. Responsibilities The Senior Channel ..
Description Healthcare isn’t just about health anymore. ... of our members, and the healthcare industry as a whole.Digital Innovation ... strategy, investment and product roadmaps. Research and analyze market conditions..