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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...
Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Family Physicians Group (FPG) and Partners in ..
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 ..
... 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..
Job Information Humana Actuary, Risk and Compliance in San Antonio Texas Description This Actuary role is a newly created role within the Senior Products Actuarial Compliance team focused on special Medicare ..
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 ..
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 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 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 ..
... 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..
Job Information Humana Senior Accreditation Professional in San Antonio Texas Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance ..
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 ..
... to enhance the clinical delivery process. The Associate Director, Compliance Nursing ... problems within department(s), and could lead multiple managers or highly specialized ... Responsibilities include: Leads Medicaid operational..
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 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..
... 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..
... planning and implementation of across-the-board process improvement initiatives, including both tactical and ... provide in-depth analysis of technical process, business process, or raw data and recommendations ... As part..
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..
... 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 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 ..
... plan design, implementation and assessment process as part of the Incentive ... working with the Design Compensation Lead to create and implement incentive ... reports for business leaders ...
