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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 ..
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Description Job Description Summary The Medicaid Operations Strategy Execution/Advancement Principal provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence and strategic planning support for business ..
Job Information Humana Lead IT Partner Liaison - BPO Operations (virtual remote home office) in Aberdeen South Dakota Description Humana is seeking a technical consultant who is collaborative, smart, curious and ..
Description The Strategy and Operations Business Intelligence Lead will help execute BI team goals and objectives to their timely execution. This professional will continually assess the operational effectiveness of the team ..
Description The Network Operations Coordinator 4 maintains provider relations to support customer service activities through data integrity management and gathering of provider claims data needed for service operations. The Network Operations ..
Job Information Humana Continuous Defense - Senior CyberSecurity Operations Center Engineer(remote virtual home office) in Aberdeen South Dakota Description Unique opportunity to be on the front lines of protecting a Fortune ..
Description Responsibilities The Accounting Lead prepares, records, analyzes and reports accounting transactions and ensures the integrity of accounting records for completeness, accuracy and compliance with accepted accounting policies and principles. Provides ..
Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. ..
Description The CyberSecurity Operations Center Engineer 2 develops and executes security controls, defenses and countermeasures to intercept and prevent internal or external attacks or attempts to infiltrate company email, data, e-commerce ..
Description This is a fantastic opportunity to help transform frontline cyber operations for the 3rd largest health organization in the Nation. This candidate will have the ability to apply their vast ..
Description The Consumer Service Operations Professional 1 is responsible for the daily activities across multiple service functions area. The Consumer Service Operations Professional 1 work assignments are often straightforward and of ..
Description The Director of Operations - Inside Sales is responsible for accomplishing enterprise wide growth objectives through operational and technology transformation and by gaining a competitive edge in the marketplace by ..
Description This is a fantastic opportunity to own and manage the frontline cyber operations for the 3rd largest health organization in the Nation. This candidate will have the ability to apply ..
Description The Senior Clinical Drug Policy Management Professional provides clinical and operational leadership for the creation and maintenance of clinical tools which help facilitate clinical medication review decision. The Senior Clinical ..
Job Information Humana Manager of Cloud Infrastructure Operations in Aberdeen South Dakota Description The Manager of Cloud Infrastructure Operations will lead the Hosting Operations of our Azure, AWS and GCP Cloud ..
Job Information Humana Manager of Infrastructure Operations & Administration in Aberdeen South Dakota Description The Manager of Infrastructure Operations will lead our On-Prem Systems, Web Technologies, Cloud Platforms and Automation. The ..
Description In the fast-paced, ever-growing world of Healthcare, Humana relies on the latest technology and trends for sharing and storing information, communication and security. We need experts in technology to help ..
Job Information Humana Senior MuleSoft C4E Program/Operations Engineer-Remote / Virtual in Aberdeen South Dakota Description This role is responsible for the MuleSoft Center for Enablement (C4E) operations, tracking key metrics, stakeholder ..
Job Information Humana Financial Operations Senior Products - Accountant 2 in Aberdeen South Dakota Description The Accountant 2 performs general accounting activities, including the preparation, maintenance and reconciliation of ledger accounts ..
Description The Associate Director, Cloud Infrastructure Operations leads the planning, design, and engineering of enterprise-level infrastructure and platforms related to cloud computing. The Associate Director, Cloud Infrastructure Operations requires a solid ..
Description The Regional Market Operations Professional will support development of strategy and lead execution of utilization strategy, including assignment of providers to counties based on hours needed. Will provide non-clinical support ..
Description The Project Manager 1 manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Project Manager 1 work assignments ..
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 ..