Healthcare Business Systems Analyst Jobs in Charleston

Description The Overutilization Review and Monitoring Staff Clinical Pharmacist is a clinical pharmacist that works in Humana's Drug Management Program. This individual conducts case management on at-risk beneficiaries and potential at-risk ..

Description The Overutilization Review and Monitoring Staff Clinical Pharmacist is a clinical pharmacist that works in Humana's Drug Management Program. This individual conducts case management on at-risk beneficiaries and potential at-risk ..

Description Humana Special Needs Plans provide personalized guidance and resources to help members get the right care and information based on their specific condition or needs. Beneficiaries qualify with the following ..

... Product Manager will: Partner with Business to prioritize work in the ... in the backlog Partner with Business to create epics, features, and ... data pipelines, algorithms, and automated..

... measures the effectiveness of existing business processes and develops sustainable, repeatable ... develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement ... Process Improvement Lead researches best..

... of current Procedural Terminology and Healthcare Common Procedure coding systems Must be passionate about contributing ... Fund Contract Load Experience with healthcare information technology, actuarial science and/or ... Humana's..

... with other analytics, IT and business areas across the organization to ... and delivering on Health Informatics business initiatives. The Director of Health ... with other analytics, IT and..

... reducing waste and overuse of healthcare services, while encouraging high value ... Trend (CAT) team needs your healthcare, analytic, and research acumen to ... have the opportunity to support..

Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Charleston West Virginia Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior ..

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 ..

... Develop features, user stories and business requirements Improve coordination over cross-functional ... data pipelines, algorithms, and automated systems. Responsibilities The Senior Product Management ... functional partners, market partners, and..

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 ..

... as a focus on collaborative business relationships, value based care, population ... whether services provided by other healthcare professionals are in agreement with ... management organizations, hospitals/ Integrated Delivery..

... 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..

... Professional, you will research best business practices within and outside the ... measure the effectiveness of existing business processes and develop sustainable, repeatable ... develop sustainable, repeatable and quantifiable..

... mission of supporting the TRICARE healthcare program for our nation's military. ... our nation's military. Humana Government Business is a top 10 DOD ... long history in the TRICARE..

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 ..

Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Charleston West Virginia Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be ..

Job Information Humana Senior Data Engineer in Charleston West Virginia Description Responsibilities Senior Data Engineer Job Description Summary The Senior Data Engineer Designs, builds, and maintains data processing architectures and solutions ..

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 ..

Description The Senior Learning Design Professional uses instructional design, cognitive psychology and adult learning theory to determine the appropriate solution in order to conduct or facilitate training courses for organization employees ..

... document all encounter errors in systems/databases; perform encounter data reconciliation and ... departments on designing and implementing system/business process adjustments as needed to ... Qualifications Bachelor's degree in a..

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 ..