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Description Responsibilities Reporting to the Associate Director of Procurement at Humana, the Sourcing Procurement Professional 2 will generate and implement efficient sourcing and category management strategies. The Sourcing Procurement Professional 2 ..
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 ..
Description The Virtual Neighborhood Center Coordinator ensures the day-to-day operations of the HumanaNeighborhoodCenter.com site meets participant needs. The Virtual Neighborhood Center Coordinator is responsible for managing, maintaining and troubleshooting the live ..
Seco Tools is seeking an Information Technology Professional to provide IT support to Seco Tools end-users while being part of the local IT infrastructure team for the Americas. You will work ..
Description The Provider NetworkSenior Network Operations Professional works with the Network Operations lead to oversee the plan's strategic opportunity for growth, audit/survey analysis, action plan oversight, implementation and coordination, provider services ..
... Job Description Summary The Medicaid Operations Strategy Execution/Advancement Principal provides data-based ... technical experience. Responsibilities The Medicaid Operations Strategy Execution/Advancement Principal leads initiatives ... with the Medicaid PMO and..
Job Information Humana Senior Process Improvement Professional/HGB (TRICARE Benefits, Claims processing exp.) Remote Nationwide in Troy Michigan Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..
Description The Network Operations Coordinator contributes to the provider experience ... health plan networks. The Network Operations Coordinator 4 assumes ownership and leads ... and judgment. Responsibilities The Network Operations..
Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Troy Michigan Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..
Description The Network Operations Coordinator 4 maintains provider relations to ... claims data needed for service operations. The Network Operations Coordinator 4 assumes ownership and leads ... and judgment. Responsibilities..
Job Information Humana Medical Coding Coordinator 3- Remote USA in Troy ... Michigan Description The Medical Coding Coordinator 3 extracts clinical information from ... patient records. The Medical Coding Coordinator..
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 ..
Job Information Humana Lead IT Partner Liaison - BPO Operations (virtual remote home office) in Troy Michigan Description Humana is seeking a technical consultant who is collaborative, smart, curious and loves ..
Description The Senior Risk Adjustment or Market Development Professional provides support relative to Medicaid risk adjustment product implementation, operations, contract compliance, and federal contract application submissions. The Senior Market Development Professional ..
Description What Humana Offers We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development ..
Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE ... Michigan Description This UM Administration Coordinator 2 will contribute to administration ... care equipment. The UM Administration Coordinator..
Description Humana's technology environment has pivoted from a centralized model over the last several years to a more federated model. This trend will continue and accelerate to the point where Humana's ..
Job Information Humana Administrative Coordinator in Troy Michigan Description The ... Troy Michigan Description The Administrative Coordinator (Business Support Coordinator) follows established procedures and guidelines ... Service Fund. The Business..
Job Information Humana Senior MuleSoft C4E Program/Operations Engineer-Remote / Virtual in Troy Michigan Description This role is responsible for the MuleSoft Center for Enablement (C4E) operations, tracking key metrics, stakeholder communications ..
Job Information Humana Project Manager 2 (Medicaid Operations) - Remote, US in Troy Michigan Description Humana Healthy Horizons is seeking a Project Manager 2 who will manage all aspects of projects, ..
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 UM Administration Coordinator 2 contributes to administration of utilization management for Humana's KY Medicaid plan. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. ..
Job Information Humana Senior Product Manager - Clinical Strategy and Analytics in Troy Michigan Description We are looking for a dynamic Senior Product Manager to develop clinical solutions for our members ..