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Job Information Humana Value-Based Strategies -- CMS Programs Provider Engagement Lead in Dover Delaware Description Value-Based Strategies - CMS Programs Provider Engagement Lead will support Humana through successful participation in CMS/CMMI ..
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Description Humana is seeking an experienced management professional to lead an interactive team with broad exposure and scope within Humana. This position will work and collaborate with leaders across the Humana ..
... dedicated to improving clinical and quality outcomes by bridging the gap ... see a provider can receive quality care in their home. This ... eco-system and clinical model Optimizes..
Description As the Senior Program Manager, you will be responsible for designing, communicating, implementing, and managing cross-functional operational plans within Author. You will work with key leaders in Author's Operations, Health, ..
Description The Supervisor, Quality Engineering carries out procedures to ... and end-user requirements. The Supervisor, Quality Engineering works within thorough, prescribed ... analytical approach. Responsibilities The Supervisor, Quality Engineering performs..
... Strategy Advancement for our Healthcare Quality Reporting and Improvement (HQRI) organization. HQRI is an ... teams: Risk Adjustment and Health Quality & Stars. The Risk Adjustment ... appropriate clinical..
Description The Senior Program Delivery Professional leads IHWA interoperability initiatives enabling the appropriate sharing and timely access of our data for driving operational decisions. Partners with leaders across the organization to ..
Description The Manager, Inbound Contacts represents the company ... digital, or written inquiries. The Manager, Inbound Contacts works within specific ... schedules and goals. Responsibilities The Manager, Inbound Contacts addresses..
Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..
Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. The National Medicaid Director of ..
Description Responsibilities The Telephonic Care Manager will be part of the ... of the condition/disease. The care manager will assess, plan, coordinate, implement, ... capacity for self-care to enhance quality..
Description The Director, Strategy Advancement provides data-based strategic direction identifying and delivering new avenues of growth is a critical company priority, championed by the SVP of Retail Strategy & Product. We're ..
Description The Manager, Storage Engineering responsible for the ... large-scale production storage systems. The Manager, Storage Engineering works within specific ... and processes to deliver high quality technology projects and..
Description Humana's Provider Process and Service organization is looking for a Project Manager 2 to join the Medical Records Management (MRM) team. You will work closely with MRM end users to ..
... join our team as Director, Quality Engineering. Operating on an enterprise ... focus on software and infrastructure quality, and will own the end-to-end ... end-to-end accountability for the ongoing..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
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 ..
... and other military healthcare programs. High-quality service, cost-effective platforms, and progressive ... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary. The PDC Care..
Description The Director, QOCA Strategy - serves as the strategic leader in resource utilization; budget and MER oversight; vendor oversight; and for clinician and non-clinician flex associates and off-shore vendor associates ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Dover Delaware Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... and other military healthcare programs. High-quality service, cost-effective platforms, and progressive ... Government. Responsibilities The Telephonic Care Manager will..
... will create and implement process improvement plans focused on the beneficiary ... Develop and monitor performance and quality of initiatives, providing insight and ... focused on customer experience, continuous..
Description The Program Manager, OTC Formulary will work closely ... programs and verify that product quality does not negatively impact the ... over-the-counter formulary that balances product quality with program..
