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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 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 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 Senior Data Manager - Primary Care Organization in ... Arizona Description The Senior Data Manager supports all aspects of configuration ... deficiency reporting. The Senior Data Manager..
... 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..
... 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..
... 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..
... 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 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 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 Associate VP, Clinical Pharmacy (Remote) in Phoenix Arizona Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support and strategy to ..
... 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..
... 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..