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... a hybrid role composed of field-based and home-office medical roles. It is anticipated ... is to provide scientific and clinical information related to their assigned-therapeutic ... internal (Commercial, Access,..
... a comprehensive analytic review of clinical documentation to determine if an ... with the ability to interpret, research and identify core issues Strong ... work remote out of your..
... The Nurse Auditor 2 performs clinical audit/validation processes to ensure that ... you love auditing and investigating clinical/coding information, researching medical materials and ... opportunity. Performs in a production..
... a remote role working from home anywhere in the US. Responsibilities ... using historical campaign performance, market research and competitive intelligence Use your ... Knowledge of healthcare, pharmacy and/or..
Job Information Humana Value-Based Strategies - CMS Programs Strategy ... San Juan Puerto Rico Description Value-Based Strategies - CMS Programs Strategy ... combination of big-picture vision, deep value-based care experience..
... FULLY BILINGUAL with supervisory and Clinical exp) San Juan, PR in ... The Manager, Care Management uses clinical knowledge, communication skills, and independent ... critical thinking skills towards interpreting..
... care management. The CMSS provides non-clinical support to the assessment and ... assignments. CMSS's work collaboratively with clinical support associates, (including nurses and ... include weekend hours. In this..
... leadership and oversight of the research of quality/outcome measure development and ... including developing the technical and research plans for measure development, identifying ... measures, and conceptualizing and supervising..
... a comprehensive analytic review of clinical documentation to determine if an ... and then delivers final determination based on trained skillsets and/or partnerships ... trained skillsets and/or partnerships with..
... closely with our local market Clinical, Provider Engagement, MRA (Medicare Risk ... who work outside of their home to submit proof of vaccination, ... in the field. Work at..
... as the result of analysis based on existing customer characteristics, campaign ... knowledge gathered from analytics and research Develop product marketing deliverables, including ... needs Knowledge of healthcare or..
Job Information Humana Associate VP, Research Consulting-Humana Healthcare Research (HHR). in San Juan Puerto ... to identify and execute on research topics relevant to the business ... mentorship of other..
Description The RN Clinical team is looking for a ... will be someone who applies clinical and coding experience in their ... that match the query. Applies clinical and coding..
... a comprehensive analytic review of clinical documentation to determine if an ... at the comfort of your home due to previous experience/breadth and ... work remote out of your..
... administration of care management. Provides non-clinical support to the assessment and ... increase access to services; conduct non-clinical outreach to assist families with ... questions. Identifying available local resources..
... local market Provider Engagement, MRA, Clinical, & Contracting leadership to provide ... financial opportunities for our Medicare Value-Based Providers. This role will have ... tables, charts/graphs, etc.) Ability to..
... audience (i.e. Population Health, Retail, Clinical, Pharmacy and Home Health) to help them achieve ... This involves compiling and evaluating research on the market's product requirements ... campaign execution..
... Juan Puerto Rico Description Humana's Clinical Trend and Analytics team is ... Scientist. This position can be work-at-home from anywhere, as long as ... work some EST hours. The..
Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to ... healthcare challenges of today. The Clinical Analytics and Trend team uses ... techniques, data analysis,..
... Actuary, MRA, Corporate Finance and Clinical departments to drive optimization inclusive ... who work outside of their home to submit proof of vaccination, ... in the field. Work at..
... of Trend Analytics. As a clinical trend leader you will support ... enterprise trend governance providing critical clinical and strategy assessment. Through working ... trend transformation, retail business, enterprise..
... or enrollment2. Provider data management3. Clinical care or utilization management (UM)4. ... management (UM)4. HEDIS Quality measurements5. Value-based care6. Regulatory and compliance7. Claims ... Deep understanding of insurance and..
