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Description The Senior Risk Management Professional will be responsible for managing third party risk management (TPRM) work streams to support Humana's overall TPRM Program. Responsibilities include risk identification, data analysis, process ..
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Description The Senior Quality Improvement Professional will focus organizational efforts ... repeatable, and quantifiable behavioral health process improvements. They will work closely ... Director, Behavioral Health Director, Quality Improvement Manager..
Description As Lead Actuary of the Risk Predictive Models team, you have an opportunity to both learn more about predictive analytics and machine learning and to see it become very real ..
Job Information Humana Medicaid Encounters Lead (Medicaid) - Remote, US in ... Virginia Description The Medicaid Encounters Lead is responsible for monitoring and ... Operations teams, the Medicaid Encounters Lead..
Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..
... Nationwide Medicaid Behavioral Health Quality Lead in Charleston West Virginia Description ... Description The Behavioral Health Quality Lead will report directly to the ... of Humana Healthy Horizon's National..
Job Information Humana Senior Innovation Portfolio Strategy Professional in Charleston West Virginia Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives ..
Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain high quality ..
Description The Process Improvement Lead analyzes, and measures the effectiveness ... sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems of diverse ... to substantial...
Description The Senior Learning Design Professional uses instructional design, cognitive psychology and adult learning theory to determine the appropriate solution in order to conduct or facilitate training courses for organization employees ..
Job Information Humana Senior Project Manager -- Remote in Charleston West Virginia Description The Senior Project Manager manages all aspects of a project, from start to finish, so that it is ..
Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in Charleston ... Horizons is seeking a Quality Improvement Program Lead who will be responsible for ... Humana Healthy Horizon's..
Description The Director, Clinical Pharmacy Drug Evaluation and Policy Strategies oversees drug class reviews/evaluation, clinical policy strategy development, research, P&T committee oversight, and accreditation. This position will work and collaborate with ..
... Nurse: Serves as a team lead and subject matter expert (SME) ... CarePlus departments Leads implementation of process improvement initiatives based on data analysis ... regarding training, improving outcomes,..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Genesis a leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how care is delivered by ..
Genesis HealthCare is one of the nation's leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing ..
... portfolio. The candidate's ability to lead with his/her third party risk ... to support risk identification, analysis, process design and implementing control practices ... assessing risks, design and implementation..
Job Information Humana Senior Accreditation Professional in Charleston West Virginia Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance ..
Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ..
Description The Lead Behavioral Health Medical Director oversees ... doing case reviews themselves. The Lead Behavioral Health Medical Director may ... Health Medical Director may also lead specific functional area..
Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ..
