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Job Information Humana Healthcare Lead Product Manager: Chinese and Korean Segment Medicare ... Colorado 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 Colorado Springs Colorado 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..
... 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..
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 ..
... 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..
... 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,..
Job Information Humana Associate VP, Clinical Pharmacy (Remote) in Colorado Springs Colorado Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support and strategy ..
... 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..
... 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 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 ..
... of services provided by other healthcare professionals in compliance with review ... issues regarding technical approach for project components, and work is performed ... whether services provided by other..
... 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..
... Humana Medical Director of Trend Analytics in Colorado Springs Colorado Description ... a Medical Director of Trend Analytics. As a clinical trend leader ... impact Work collaboratively with various..
... whether services provided by other healthcare professionals are in agreement with ... whether services provided by other healthcare professionals are in agreement with ... Delivery Systems, health insurance, other..
Job Information Humana Senior Data Manager - Primary Care Organization in ... Colorado Description The Senior Data Manager supports all aspects of configuration ... deficiency reporting. The Senior Data Manager..
