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... -- CMS Programs Provider Engagement Lead in Bridgeport Connecticut Description Value-Based ... - CMS Programs Provider Engagement Lead will support Humana through successful ... - CMS Programs Provider Engagement..
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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 ... well as..
Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, ..
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 ..
... experience in program management to lead and manage a team of ... problems within department(s), and could lead multiple managers or highly specialized ... with strong ability to influence,..
Description Humana is a Fortune 60 healthcare company with a history of successful innovation and reinvention, with over 50 years as a proven leader and innovator in the health and wellness ..
... Integrity, will create and implement process improvement plans focused on the beneficiary ... processes. The Associate Director will lead design and implementation of the ... design and implementation of..
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 ..
... Coordinates and prioritizes the sterilization process on the shift to ensure ... and outside professional development and self-improvement opportunities. 8. Utilizes Daily Management ... nurtures a basic understanding 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..
... 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..
Description The Staff Clinical Pharmacist manages the formulary processes for the Clinical Formulary Administration team for the Medicaid LOB. The Staff Clinical Pharmacist work assignments involve moderately complex to complex issues ..
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 ..
... 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..
... 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 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 Clinical Pharmacy Lead monitors drug development pipeline, and ... health outcomes. The Clinical Pharmacy Lead works on problems of diverse ... branch for quality assessment and process improvement..
... leaders and Providers on performance improvement projects and staff education. She/he ... performance management. This position will lead a diverse group of staff ... critical initiatives through project management,..
... to enhance the clinical delivery process. The National Medicaid Director of ... clinical strategy and provide ongoing process improvement support for Care Management practice; ... support for Care Management..
Job Information Humana Senior Accreditation Professional in Bridgeport Connecticut Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance with ..
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 ..
... 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..
... YNH Health efforts to improve process efficiencies, assess regulatory compliance and ... systems design and implementation, quality improvement and a variety of special ... Workout), and/or other available performance..
