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Description The Lead Medical Director relies on medical ... and reviews health claims. The Lead Medical Director requires a solid ... interrelate across department(s). Responsibilities The Lead Medical Director provides..
... The ACD Referral Authorization Coordinator Lead role will assist the Supervisor ... (ACD). Under direct clinical supervision, process referrals from Military Treatment Facilities ... administrative owner of a main..
... people everywhere, including our associates, lead their best lives. We support ... we serve, including our associates, lead their best lives. We support ... of operational development and performance..
Description The Compliance Lead ensures compliance with governmental requirements. ... with governmental requirements. The Compliance Lead works on problems of diverse ... to substantial. Responsibilities The Compliance Lead is responsible..
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 ..
... drug therapy optimization. Oversee and lead the specialty drug clinical program ... updates, and market event notifications. Lead the analysis and generation of ... initiatives and continuously improve the..
Description The Senior Process Improvement Professional analyzes, and measures the ... sustainable, repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work assignments involve moderately ... environment; primarily..
Description Responsibilities Humana's Corporate Strategy team is a small, high-performing organization that works closely with Humana's senior leadership to chart the course for the company's future. Within Strategy Operations, you will ..
Description The Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of ..
Description The Pharmacy Claims Lead operationalizes and monitors Coordination of ... course of action. Responsibilities Responsibilities Lead a team of Pharmacy Professionals ... business Actively identifies and owns process improvements..
... partner agencies. Clinical Faculty will lead the coordination of clinical services ... partner site(s). As a site lead, the Clinical Supervisor will act ... to consistently identify opportunities for..
Job Information Humana Senior Accreditation Professional in Chicago Illinois Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance with ..
... Responsibilities The ACD Program Integrity Lead responsibilities include analyzing data, reporting ... planning and implementation of across-the-board process improvement initiatives, including both tactical and ... provide in-depth analysis of..
Description Humana's Claims Cost Management (CCM) organization is seeking a Manager, Fraud & Waste to join the Provider Payment Integrity-Clinical Audit team working remote anywhere in the US. As the Fraud ..
Description Humana has articulated a long-term vision to transform from a health insurance company to a health services company distinguished by the prioritization of the health outcomes and care experiences of ..
Job Information Humana Compliance Lead - Illinois Medicaid in Chicago ... Chicago Illinois Description The Compliance Lead ensures compliance with governmental requirements. ... with governmental requirements. The Compliance Lead works..
