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... this position should have extensive experience with architecting and designing enterprise Cloud platforms and infrastructure. This role ensures that ... workloads have optimal performance, continuity and efficiency in virtualized,..
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... on problems of diverse scope and complexity ranging from moderate to ... expert responsible for developing, guiding, and documenting clinical business system and functional processes, influences system design .....
... performs analysis of business, process and user needs, documentation of requirements, ... documentation of requirements, cost/benefit analysis and translation into proper system requirement ... with end users to identify..
... for Clinical Pharmacy Products develops and evaluates new product ideas, enhance ... products or strategic product extensions, and translates research discoveries into marketable ... This role provides strategic advice..
... ensuring educational information is current and relevant to training needs in ... needs in addition to analyzing and organizing content and designs solutions. This position owns ... include material..
Description The Clinical Recruiter recruits and interviews prospective employees for hourly ... interviews prospective employees for hourly and salaried positions for our Care ... with a sense of urgency, and..
... a world class Data Science and Insights enterprise capability leveraging digital-first ... capability leveraging digital-first platforms, analytics, and agile development methodologies. An opportunity ... we provide our consumers-physicians, patients,..
... The Senior Medicaid Quality Data and Reporting Analyst generates ad hoc ... Analyst generates ad hoc reports and regular datasets or report information ... for end-users using system tools..
... Needs Plans provide personalized guidance and resources to help members get ... members get the right care and information based on their specific ... Are eligible for both Medicare..
... is responsible for the administration and monitoring of the Autism Care ... Plan (EFMP), auditing for quality and clinical compliance, and case management. Serve as a ... beneficiaries, guardians,..
... Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that ... communicates contract terms, payment structures, and reimbursement rates to..
Description The Experience Strategy & Transformation Lead enhances ... Transformation Lead enhances the consumer experience by architecting experiences and building capabilities that will positively ... positively impact our customers. The..
... The Associate Director, Problem, Incident and Event Management drives technical support ... The Associate Director, Problem, Incident and Event Management requires a solid ... The Associate Director, Problem, Incident..
... health outcomes for our seniors and helping them to lead their ... best lives. Author's Product & Experience team drives the strategy and vision for our member and associate..
... medical record documentation for quality and clinical compliance with contract requirements ... whether all required documentation exists and is adequate to support the ... 95% Quality Monitoring Audits Review..
... you will use your background and experience in program management to lead ... in program management to lead and manage a team of PMO ... delivery of strategic enterprise..
... Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that ... on problems of diverse scope and complexity ranging from..
... content, organizes content, designs solutions, and writes storyboards, scripts, performance support, ... storyboards, scripts, performance support, newsletters and notification letters. Analyzes learning needs ... notification letters. Analyzes learning needs..
... to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization ... 2 work assignments are varied and frequently require interpretation and independent determination..
... 2 manages data to support and influence decisions on day-to-day operations, ... on day-to-day operations, strategic planning and specific business performance issues. The ... 2 work assignments are varied..
... computes rates for both renewing and prospective moderate to complex group ... 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ... essential..
... The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by ... state by guiding members/families toward and facilitate interaction with..
... offers a variety of responsibilities and assignments centered around sales. Responsibilities ... the art of inside sales and account management within a fast-paced, ... ) to promote Humana health..
