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... their time supporting the matrix team and self-study and half of ... customers Thought Leaders (TL) and Healthcare Providers (HCP) within assigned geography. ... Actively assess the medical and..
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Description The Product Manager 2 Conceives of, develops, delivers, and manages products for customer use. The Product Manager 2 work assignments are varied and frequently require interpretation and independent determination of ..
... 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..
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 Humana's Enterprise Clinical Management team needs your clinical, business and ... acumen to solve for the healthcare challenges of today. The Clinical ... The Clinical Analytics and Trend team..
... 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..
... the National Medicaid Clinical Operations team is expanding our shared services ... and operational metrics for the team and individuals. Decisions are typically ... and centralized clinical Utilization Management..
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 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 ..
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 ..
... 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..
... 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..
Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism Care Demonstration ..
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 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 ..
... 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 Clinical Recruiter recruits and interviews prospective employees for hourly and salaried positions for our Care Delivery Organization. Humana is seeking a recruiter who is a self-starter, able to work ..
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 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 ..
... Degree in Business, Accounting, Finance, Healthcare Administration and/or related field 5 ... who works well in a team environment and can lead a ... environment and can lead a..
Description The Care Management Support Assistant 3 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 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 ..
