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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 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 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 The Compliance (UM) Lead conducts and summarizes compliance audits. The Compliance (UM) Lead works on problems of diverse scope and complexity ranging from moderate to substantial. Responsibilities The Compliance (UM) ..
Job Information Humana Senior Business Intelligence Engineer - Wellness in Tampa Florida Description The Senior Business Intelligence Engineer - Wellness solves complex business problems and issues using data from internal and ..
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 ..
... strategy to potential and renewing Medicare clients through proposal responses. The ... RFP Professional assists the Group Medicare Customer Success Team with RFP ... track all RFPs Support Group..
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..
... The Director, Data Transformation within Medicare Finance Organization, maintains and collects structured ... of support to the entire Medicare Finance Organization, from technical, project management, ... needs and positions..
Description The Quality Audit Coordinator 2 analyzes and investigates quality issues. The Quality Audit Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine ..
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 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 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 This role supports Humana's growing Medicaid line of business. Medicaid provides insurance and care options predominately for low-income individuals and families and those who have disabilities. Medicaid marketing is regulated ..
