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Description The Director, QOCA Strategy - serves as the strategic leader in resource utilization; budget and MER oversight; vendor oversight; and for clinician and non-clinician flex associates and off-shore vendor associates ..
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Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work assignments ..
... trend projects and investigations. This leader monitors progress and performance against ... making. Support the ECOM leadership team with Program management & Pipeline ... Minimum 2 years working in..
... a part of an interactive team with broad exposure and scope ... contribute to a high performing team that helps translate the clinical ... professionals and actuaries in a..
... Military's provider reimbursement methodologies. This leader is responsible for timely and ... the TRICARE claims system. This leader will also be accountable for ... a highly efficient and engaged..
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 Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Military to be a thought leader in the industry and an ... the Humana Military Care Management..
... the Provider Payment Integrity-Clinical Audit team working remote anywhere in the ... that our members receive quality healthcare at an affordable price. You ... price. You will lead a..
... of the Risk Predictive Models team, you have an opportunity to ... and innovative way. Responsibilities As leader of the Risk Predictive Models ... of the Risk Predictive Models..
Description The Associate Director, Vendor Management works as liaison between vendors and organization. The Associate Director, Vendor Management requires a solid understanding of how organization capabilities interrelate across department(s). Responsibilities The ..
Description The Senior Nursing Educator plans, directs, coordinates, evaluates, develops, and/or delivers training and education programs for professional nursing personnel. The Senior Nursing Educator work assignments involve moderately complex to complex ..
... product vision to a delivery team by defining user stories and ... will work with the development team to ensure the right product ... ideal candidate has experience in..
Description The Associate Director, Consumer Engagement oversees the enrollment, education, engagement, and activation duties for client groups regardless of segment, and for product where warranted. The Associate Director, Consumer Engagement requires ..
Description Responsibilities Humana's Corporate Strategy team is a small, high-performing organization ... execute strategic transformation. The Strategy team leads weekly meetings with Humana's ... with Humana's CEO and management team..
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 Utilization Management Nurse 2 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 ..
Description The Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of ..
... Humana is a Fortune 60 healthcare company with a history of ... 50 years as a proven leader and innovator in the health ... top place to work in..
Description The Senior Physician Recruiter recruits qualified physicians for medical staff and assists in development of strategic physician recruitment plans. The Senior Physician Recruiter work assignments involve moderately complex to complex ..
... Digital Health & Analytics (DH&A) team within Humana to build a ... Digital Health & Analytics (DH&A) team within Humana to build a ... other members of the care..
