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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..
... on Quality Initiatives; Develop robust analytics to drive quality improvements Evangelize ... date, and dependencies, to the project managers and other stakeholders -Remain ... non-functional disciplines. Strong background in..
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 ..
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 ..
... whether services provided by other healthcare professionals are in agreement with ... Delivery Systems, health insurance, other healthcare providers, clinical group practice management. ... care, Public Health, Population Health,..
... partners, Clinical Program Leads, Pharmacy Analytics, and external vendors. The Pharmacy ... courses of action. Responsibilities The Project Manager, Financial Healthcare Advisor manages all aspects of ... manages all..
Description Care Management Analytics is looking for an Associate Director of Data Science to lead a team of data scientists who building machine learning models and run advanced analyses to drive ..
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..
... of services provided by other healthcare professionals in compliance with review ... issues regarding technical approach for project components, and work is performed ... Delivery Systems, health insurance, other..
... 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..
... 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..
Job Information Humana Associate VP, Clinical Pharmacy (Remote) in Albuquerque New Mexico Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support and strategy ..
... the mission of a leading healthcare company committed to improving the ... planning, structured problem solving, and project management rigor. We are a ... possess working knowledge of contemporary..
