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Job Information Humana Healthcare Lead Product Manager: Chinese and Korean Segment Medicare ... Nevada Description The Lead Product Manager Conceives of, develops, delivers, and ... customer use. The Lead Product..
Job Information Humana Healthcare Lead Product Manager: Hispanic Segment Medicare Advantage in ... Nevada Description The Lead Product Manager Conceives of, develops, delivers, and ... customer use. The Lead Product..
Description Responsibilities The Telephonic Care Manager will be part of the Humana Military Care Management team; providing a comprehensive, holistic approach for Disease Management and Personal Nurse programs throughout the continuum ..
... Las Vegas Nevada Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... regional strategies for physician and..
... Humana Medical Director of Trend Analytics in Las Vegas Nevada Description ... a Medical Director of Trend Analytics. As a clinical trend leader ... impact Work collaboratively with various..
... Las Vegas Nevada Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
... 40) market leader in integrated healthcare with a clearly defined purpose ... the moment of need for healthcare benefits, benefits selection, benefits utilization, ... and insights through dashboards and..
... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Discharge Call (PDC) Telephonic Care Manager will be part of the ... clinical conditions identified through Predictive..
... of the MRA team, the Manager will work closely with market ... based on advanced knowledge/experience. The Manager, Risk Adjustment works within specific ... approach, resources, schedules and goals.The..
Job Information Humana Clinical Analytics and Trend Program Manager in Las Vegas Nevada Description ... to substantial. Responsibilities The Clinical Analytics & Trend Program Manager role designs, communicates, and implements..
Description The Director, Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking and forecasting, supports financial sales analysis and market event news. This position will work and collaborate with ..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an accomplished healthcare leader for the newly-created role ... quality, appropriate, and cost-effective behavioral..
Job Information Humana Actuary, Analytics/Forecasting in Las Vegas Nevada Description The Actuarial Product Manager manages the ecosystem of actuarial tools, models, and methodology for a focused yet complex subset of the ..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
... partners, Clinical Program Leads, Pharmacy Analytics, and external vendors. The Pharmacy ... of action. Responsibilities The Project Manager, Financial Healthcare Advisor manages all aspects of ... including Clinical Program..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Government. Responsibilities The Telephonic Care Manager will..
Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..
... needs your clinical, business and analytics acumen to solve for the ... acumen to solve for the healthcare challenges of today. The Clinical ... challenges of today. The Clinical..
Job Information Humana Senior Data Manager - Primary Care Organization in ... Nevada Description The Senior Data Manager supports all aspects of configuration ... deficiency reporting. The Senior Data Manager..
Job Information Humana Telephonic Care Manager in Las Vegas Nevada Description ... Nevada Description The Telephonic Care Manager will be part of the ... identified through direct referrals, predictive analytics,..