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... with CDO Population Health and Finance teams to ensure timely and ... business partners Deep understanding of Medicare reimbursement, Medicare Advantage health plan economics, and ... relevant field (i.e.,..
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Description The Senior Stars Clinical Professional (RN) works through phone calls and other outreach methods with members, providers, and/or vendors to close HEDIS care gaps. The Senior Stars Clinical Professional work ..
Description The STARS Improvement Professional 2 develops, implements, and manages oversight of the company's Medicare/Medicaid Stars Program. Directs Stars quality improvement programs and initiatives. The STARS Improvement Professional 2 work assignments ..
Job Information Humana Senior Business Intelligence Engineer - Wellness in Colorado Springs Colorado Description The Senior Business Intelligence Engineer - Wellness solves complex business problems and issues using data from internal ..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Programs Analyst works on problems ..
Description The STARS Improvement Professional 2 (Analyst) develops, implements, and manages oversight of the company's Medicare/Medicaid Stars Program. Directs Stars quality improvement programs and initiatives. The STARS Improvement Professional 2 work ..
Description The Senior Financial Analytics Professional designs, builds and operates the tools which develop and deliver financial projections relating to Humana's Medicare business. The Senior Financial Analytics Professional work assignments involve ..
Description Retention is a key component of our overall Medicare Growth strategy and is an enterprise-wide priority. The Business Intelligence Lead solves complex business problems and issues using data from internal ..
Description The Financial Analytics Professional 2 manages data to support and influence decisions on day-to-day operations, strategic planning and specific business performance issues. The Financial Analytics Professional 2 work assignments are ..
Description Humana is an $80 billion (Fortune 41) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Description The Director, Network Operations maintains provider relations to support customer service activities through data integrity management and gathering of provider claims data needed for service operations. The Director, Network Operations ..
... as an input for the Medicare Advantage bids as well as ... as the coordination of the Medicare Trend Committee (MTC), Medicare Cost & Quality (MQC), and ... 2-5..
Description The Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Market Development Advisor ..
Description The Senior Stars Improvement Professional develops, implements, and manages oversight of the company's Medicare/Medicaid Stars Program. Directs Stars quality improvement programs and initiatives. The Senior Stars Improvement Professional work assignments ..
