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Job Information Humana Clinical Analytics and Trend Program Manager in Albuquerque New Mexico Description ... to substantial. Responsibilities The Clinical Analytics & Trend Program Manager role designs, communicates, and implements..
... 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..
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 ..
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..
... the mission of a leading healthcare company committed to improving the ... possess working knowledge of contemporary healthcare technologies and have a proven ... of academic achievement 8 years..
... 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..
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 relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
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 ..
Job Information Humana Telephonic Care Manager in Albuquerque New Mexico Description ... Mexico Description The Telephonic Care Manager will be part of the ... identified through direct referrals, predictive analytics,..
... 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..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... as AI, robotics and predictive..
Job Information Humana Actuary, Analytics/Forecasting in Albuquerque New Mexico Description The Actuarial Product Manager manages the ecosystem of actuarial tools, models, and methodology for a focused yet complex subset of the ..
Job Information Humana Senior Data Manager - Primary Care Organization in ... Mexico Description The Senior Data Manager supports all aspects of configuration ... deficiency reporting. The Senior Data Manager..
... Albuquerque New Mexico 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 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 ..
... Albuquerque New Mexico Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... regional strategies for physician 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..
... Humana Medical Director of Trend Analytics in Albuquerque New Mexico Description ... a Medical Director of Trend Analytics. As a clinical trend leader ... impact Work collaboratively with various..
... 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..
