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... Technology across disciplines/clinical departments. Will lead / participate in implementing large ... participate in implementing large clinical process change. Performs specific job responsibilities: ... understanding of lean and quality..
JOB SUMMARY The Senior Director of Clinical Advancement and patient safety assures that the Quality and Patient Safety corporate functions are carried out on a local level in such a manner ..
JOB SUMMARY Oversees the delivery of patient care through subordinate staff and managers. Establishes operational goals, objectives and budgets for multiple complex departments. Responsibilities include establishment and implementation of optimal operating ..
... 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 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 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 ..
... 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 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 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 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 ..
Job Information Humana Actuary, Risk and Compliance in Glen Allen Virginia Description This Actuary role is a newly created role within the Senior Products Actuarial Compliance team focused on special Medicare ..
... 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 ...
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 ..
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 ..
Job Information Humana Senior Accreditation Professional in Glen Allen Virginia Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance ..
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 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 ..
... 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..
... satisfaction and actively participates in process improvement activities that enhance the likelihood ... RELATED: Participates in the recruitment process for new clinical staff. Assists ... the practice of Continuous..