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Job Information Humana Healthcare Lead Product Manager: Chinese and Korean Segment Medicare ... Carolina 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 ... Carolina 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 ..
Job Information Humana Manager of Fraud and Abuse Data ... of Fraud and Abuse Data Analytics in Lancaster South Carolina Description ... South Carolina Description Responsibilities The Manager of Fraud..
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 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 ..
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 ..
Job Information Humana Telephonic Care Manager in Lancaster South Carolina Description ... Carolina Description The Telephonic Care Manager will be part of the ... identified through direct referrals, predictive analytics,..
... Lancaster South Carolina Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
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 ..
... 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..
... 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..
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 ..
... 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..
Job Information Humana Senior Data Manager - Primary Care Organization in ... Carolina Description The Senior Data Manager supports all aspects of configuration ... deficiency reporting. The Senior Data Manager..
... 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..
... Lancaster South Carolina Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... regional strategies for physician and..
Job Information Humana Clinical Analytics and Trend Program Manager in Lancaster South Carolina Description ... to substantial. Responsibilities The Clinical Analytics & Trend Program Manager role designs, communicates, and implements..
... 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..
... Humana Medical Director of Trend Analytics in Lancaster South Carolina Description ... a Medical Director of Trend Analytics. As a clinical trend leader ... impact Work collaboratively with various..