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Description Help grow one of the leading value-based, senior-care providers in the country Partners in Primary Care and Family Physicians Group (collectively the Care Delivery Organization) are one of the largest ..
Description The Actuarial Analyst 2, Risk and Compliance is ... risks and estimates the potential financial consequences, develops and recommends controls ... to minimize risks. The Actuarial Analyst 2, Risk..
Description The Financial Planning & Analysis Lead analyzes ... Analysis Lead analyzes and forecasts financial, economic, and other data to ... strategic and operational decisions. The Financial Planning & Analysis..
Description The Associate Director, Credentialing/Compliance manages the Dental Credentialing and Compliance team ensuring that dental providers are Credentialed/Re-credentialed according to CMS and State guidelines and that Humana's Dental Networks operate in ..
Description The Business Analyst, Level I will be responsible for supporting the analysis of client performance indicators, measuring and benchmarking our business operations and assisting with new product offering analyses. The ..
Description The Senior Professional, Medicaid Network Strategy will be accountable for supporting the development of Humana Healthy Horizon's (Medicaid) network and provider strategy for its growth markets. This strategist will provide ..
Job Profile Position Overview At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our ..
Description The Senior Risk Management Professional identifies and analyzes potential sources of loss to minimize risk. The Senior Risk Management Professional work assignments involve moderately complex to complex issues where the ..
Job Information Humana Medicaid Encounters Lead (Medicaid) - Remote, US in Dover Delaware Description The Medicaid Encounters Lead is responsible for monitoring and oversight of the end-to-end encounter management workflow for ..
Description The Actuary, Pricing is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new plans ..
... include meeting Federal and State regulatory sales oversight requirements. The person ... operating standards and to reduce regulatory risk. This person will assist ... as Six Sigma certification. Insurance..
Description The Senior Professional collaborates with healthcare professionals, pharmacists, and other business functions to implement formulary and medical strategies for the Medicaid line of business. Makes decisions on moderately complex to ..
Description The Senior Pharmacy Clinical Advisor requires a broad understanding of pharmacy, managed care, PBM, market and regulatory insights to develop, and/or implement formulary strategies to mitigate cost trend and improve ..
Description The Senior Financial Reporting Professional will serve as ... accounting basis. Responsibilities The Senior Financial Reporting Professional ensures all reports ... and consolidates divisional and subsidiary financial accounts in..
... in Dover Delaware Description The Financial Planning & Analysis Lead is ... leadership role with full market financial oversight over the South Carolina ... The position analyzes and forecasts..
Description The Lead, Information Technology & Data Governance Risk Oversight, identifies, analyzes, monitors and minimizes areas of risk that pertain to information technology and data governance. Coordinates closely with the Information/Cyber ..
Description The Actuarial Analyst 1, Risk and Compliance is ... risks and estimates the potential financial consequences, develops and recommends controls ... to minimize risks. The Actuarial Analyst 1, Risk..
Description The Supply Chain Professional 2 reports through Humana's Pharmacy Supply Chain and performs DSCSA (Drug Supply Chain Security Act) compliance related tasks in support of Humana's Pharmacy inventory receiving operations. ..
... maintains, and enhances the Organization's regulatory change program. Responsible for the ... for the oversight of the Regulatory Library inventory of laws and ... and regulations the identification of..
... to support Humana's legislative and regulatory initiatives. Responsibilities Responsibilities - Key ... intelligence, primary care, clinical and financial transparency, social determinants of health, ... critical trends in legislative or..
Job Information Humana Advisor, Medicaid Network Strategy in Dover Delaware Description The Advisor, Medicaid Network Strategy will be accountable for leading the development of Humana Healthy Horizon's (Medicaid) network strategy for ..
Job Information Humana Associate Actuary, Pricing Medicare Advantage in Dover Delaware Description The Associate Actuary, Pricing is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates ..
... - Career Framework, Market Analysis, Regulatory in Dover Delaware Description The ... asked to apply business and financial acumen as well as organizational/behavioral ... of any new pay related..
