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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 ..
... CarePlus is seeking a Clinical Business Lead who will lead teams ... and Utilization Management. The Clinical Business Lead works on problems of ... to substantial. Responsibilities The Clinical..
Description The Grievances & Appeals Professional 2 manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Grievances & Appeals ..
... lead cross-functional stakeholders to gather business requirements and effectively implement change, ... that support the specialty pharmacy business. Key Responsibilities Owns the end-to-end ... regional medical directors, lawyers, actuaries,..
Description The Lead Cloud Architect leads the planning, design, and engineering of enterprise-level infrastructure and platforms related to cloud computing. The Lead Cloud Architect works on problems of diverse scope and ..
... Humana members to make informed healthcare decisions. Our key goal is ... members obtain high quality affordable healthcare while keeping our provider networks ... data, statistical analysis, problem solving,..
... Information Humana Senior Corporate Strategy Analyst in Naples Florida Description Humana's ... growth opportunities and work with business leaders to prioritize strategic investments ... services to Humana's lines of..
Description The Behavioral Health Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer Group product implementation, operations, contract compliance, and federal contract application submissions. The ..
Job Information Kindred at Home RN Clinical Manager in Estero Florida The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, and ..
... growth opportunities and work with business leaders to prioritize strategic investments ... services to Humana's lines of business on a project basis. As ... their strategies and solve complex..
Description The Senior Application Architect designs and develops IT applications and architects solutions to business problems in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments ..
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 ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
... 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,..
