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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, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... you succeed, we succeed! The Manager, Utilization Management Nursing..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..
... enterprise positions and priorities. Provides regulatory guidance, general issue management and ... issue management and strategic stakeholder engagement support to Corporate Affairs and ... an archive of legislative and..
Job Information Humana Director, Campaign Management & Personalization in Ridgeland Mississippi Description Humana is seeking a Director, Campaign Management & Personalization who will be responsible for the leadership and day-to-day management ..
Description In the fast-paced, ever-growing world of Healthcare, Humana relies on the latest technology and trends for sharing and storing information, communication and security. We need experts in technology to help ..
Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Ridgeland Mississippi Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to ..
Description The Director of Product Management for Clinical Pharmacy Products develops and evaluates new product ideas, enhance existing products or strategic product extensions, and translates research discoveries into marketable products. This ..
Job Information Humana Director, Technology Risk Management in Ridgeland Mississippi Description The Director, Technology Risk Management is responsible for developing and managing effective technology risk management processes and for performing technology ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Job Information Humana Senior Fraud and Waste Investigator - Lab Team-Remote in US in Ridgeland Mississippi Description The Senior Fraud and Waste Investigator conducts investigations of allegations of fraudulent and abusive ..
Job Information Humana Learning Facilitation Professional 2- Remote in US in Ridgeland Mississippi Description The Learning Facilitation Professional 2 conducts or facilitates training courses for organization employees or external audiences. The ..
Description This role will strengthen our Insurance Product Delivery Management Team to drive end-to-end Insurance Product projects cooperating closely with our Product Strategy, Enablement, Finance, IT, Compliance and Sales / Account ..
Description The Manager, Membership and Plan Services (MPS) ... Where you Come In The Manager, MPS Risk Management will: Design, ... knowledge of the legal and regulatory environment, as it..
Job Information Humana Senior Learning Facilitation Professional-Remote in US in Ridgeland Mississippi Description The Senior Learning Facilitation Professional will focus on integration and implementation of training solutions for both internal and ..
Job Information Humana Director, IT Program Risk Management in Ridgeland Mississippi Description The Director, Program Risk Management is responsible for identifying and driving remediation of risks across Humana's IT portfolio. This ..
Job Information Humana Compliance Prof 2/Process and Market Support- Remote in US in Ridgeland Mississippi Description Do you crave new challenges and solving problems? Are you looking for an opportunity to ..
Description Humana's Associate Vice President (AVP), Technology and Cybersecurity Risk works closely with all areas of Enterprise Information Protection (EIP), Internal Audit, Enterprise Risk Management, business units, regulatory agencies, and industry ..
Description The Director, IT Compliance audits the most complex new and existing information systems applications to ensure that appropriate controls exist, that processing is efficient and accurate, and that information systems ..
Job Information Humana Medicare Appeals and Grievance Medical Director in Ridgeland Mississippi Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..