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Job Information Humana Healthcare Lead Product Manager: Chinese and Korean Segment Medicare ... Arizona Description The Lead Product Manager Conceives of, develops, delivers, and ... customer use. The Lead Product..
Job Information Humana Clinical Analytics and Trend Program Manager in Phoenix Arizona Description The ... 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 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 ..
... 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 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..
Job Information Humana Telephonic Care Manager in Phoenix Arizona Description The ... Arizona Description The Telephonic Care Manager will be part of the ... identified through direct referrals, predictive analytics,..
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 ..
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 ..
... in Phoenix Arizona Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
Job Information Humana Actuary, Analytics/Forecasting in Phoenix Arizona Description The Actuarial Product Manager manages the ecosystem of actuarial tools, models, and methodology for a focused yet complex subset of the Individual ..
... 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 ... Arizona 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..
... 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..
... in Phoenix Arizona 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 Phoenix Arizona Description Humana's ... a Medical Director of Trend Analytics. As a clinical trend leader ... impact Work collaboratively with various..
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 ..
... 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..