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Description The Enterprise Transformation Lead plans, performs and implements process improvement initiatives such as Lean or ... Six Sigma. The Enterprise Transformation Lead works on problems of diverse ... capabilities..
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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...
... 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 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..
... practice of Quality Assessment and Improvement (QAI), including use of FMS ... individual contributor will have significant project/process responsibilities. Program or project responsibility ... and develops a mechanism or..
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 ..
... 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..
Job Information Humana Compliance Lead - Illinois Medicaid in Indianapolis ... Indianapolis Indiana Description The Compliance Lead ensures compliance with governmental requirements. ... with governmental requirements. The Compliance Lead works..
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..
Job Information Humana Senior Accreditation Professional in Indianapolis Indiana Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance with ..
... 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..
Job Information Humana Actuary, Risk and Compliance in Indianapolis Indiana Description This Actuary role is a newly created role within the Senior Products Actuarial Compliance team focused on special Medicare Advantage ..
Description The Senior Quality Improvement Professional will focus organizational efforts ... repeatable, and quantifiable quality and process improvements. Works closely with the ... Works closely with the Quality Improvement Director,..
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..
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 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 ..
... 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 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 ..
... 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 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 ..
Description The Network Operations Lead maintains provider relations to support ... service operations. The Network Operations Lead works on problems of diverse ... substantial. Responsibilities The Network Operations Lead manages..
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 ..
... and delivering on initiatives and process capabilities that enable improved effectiveness, ... (beneficiary, provider and associate). The Lead defines improvement projects aligned with business strategies ... successful candidate will..