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Description The Senior Clinical Business Professional manages all aspects of ... within budget. The Senior Clinical Business Professional work assignments involve moderately ... factors. Responsibilities The Senior Clinical Business Professional..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships ... goals. The Senior Value-Based Programs Analyst works on problems of diverse ... Responsibilities The Senior Value-Based Programs Analyst..
... and provider relations to meet business objectives Provides education directly to ... Preferred Qualifications Bachelor's degree in Business, Healthcare, or related field Certified Professional ... related field Certified Professional..
... Product Manager will: Partner with Business to prioritize work in the ... in the backlog Partner with Business to create epics, features, and ... functional partners, market partners, and..
... applications of data science to business. You will directly work with ... client stakeholders to define the business problem and determine solution requirements. ... will be responsible for ensuring..
Description The Informaticist 2 coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informaticist 2 work assignments are ..
Job Information Humana Senior FP&A Analyst in Charleston West Virginia Description ... evaluate alternatives against the organization's business objectives. Evaluates industry, economic, financial, ... Preferred Qualifications Master's Degree in Business..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achieving path-to-value goals through analysis and ..
... innovation portfolio tailored to capture business objectives. We collaborate with business units across the enterprise to ... portfolio for balance against strategic business objectives, thought leadership opportunities, and .....
... within the Medicaid line of business. Responsibilities The Behavioral Health Quality ... for the Medicaid line of business at the national level, and ... Drive interdepartmental collaboration to achieve..
Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
... limited to helping facilitate the business development team, coordinates with the ... Operations impacts. Coordinates with internal business partners and the technology team ... the project plan related to..
Description The Senior Utilization Management Behavioral Health Professional utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Senior Utilization ..
Description The Data and Reporting Professional II generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The ..
... associates throughout the line of business. The Quality Improvement Program Lead ... for the Medicaid line of business at the national level. Develops ... Drives interdepartmental collaboration to achieve..
Description The Oncology Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization, with a focus on oncology requests. The Oncology ..
Description Humana is seeking a Physician Strategy Sr. Professional to join our growing team. The Physician Strategy professional will be responsible for setting and implementing strategy for internal and external physician ..
Description The Senior Value-Based Analyst supports successful value-based provider relationships ... path-to-value goals. The Senior Value-Based Analyst works on problems of diverse ... substantial. Responsibilities The Senior Value-Based Analyst advises..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
... built exclusively to support the business and the brand. We are ... Writer uses creative writing expertise, business and brand insights, and analysis ... to internal marketing partners Translate..
... Humana members to make informed healthcare decisions. Our key goal is ... members obtain high quality affordable healthcare while keeping our provider networks ... knowledge of data, statistical analysis,..
Description The Senior Value-Based Financial Analyst supports successful value-based provider relationships ... Responsibilities The Senior Value-Based Financial Analyst advises executives to develop functional ... Preferred Qualifications Bachelor's degree in Business,..
