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... 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 .....
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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..
... 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..
... 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..
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..
... 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 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..
... 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..
... 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..
... 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..
... 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..
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..
... 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,..
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..
... 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..
... providing administrative support in new and existing Home Care markets. This ... This is achieved by managing and building a network of contracted ... We're passionate about helping families..
... 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,..
... 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..
... 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..
Description The Sr. Consumer Experience Professional performs data analysis supporting ... supporting learning plans via management and usage of consumer behavioral, demographic, ... usage of consumer behavioral, demographic, and attitudinal..
... 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..
