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healthcare
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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,..
... 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..
... 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 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..
... 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..
... trade strategy aligns with formularies and the desired health outcomes of ... on problems of diverse scope and complexity ranging from moderate to ... Pharmaceutical Manufacturer Relations Executive contracts..
... 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,..
... 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..
... 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..
... a history of successful innovation and reinvention, with over 50 years ... years as a proven leader and innovator in the health and wellness industry. A passionate emphasis .....
... 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..
... 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..
... 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 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..
Description The Senior Clinical Strategy and Practice Professional builds strategies for ... development, engagement, best clinical practices and processes for clinical community within ... enterprise The Senior Clinical Strategy and..
... 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..
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..
... 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..
... 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..
... 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..
... 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..
... 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..