Healthcare Business Systems Analyst Jobs in Honolulu

Job Information Humana Clinical Recruiter 2 - VSP in Honolulu Hawaii Description The Clinical Recruiter 2 interviews prospective employees for hourly and salaried positions. Assists with Pharmacy recruiting from entry level ..

Description The Senior Physician Recruiter recruits qualified physicians for medical staff and assists in development of strategic physician recruitment plans. The Senior Physician Recruiter work assignments involve moderately complex to complex ..

Job Information Humana Senior Clinical Recruiter in Honolulu Hawaii Description The Senior Clinical Recruiter recruits qualified applicants for staff nurse or other positions requiring registered nurse licensure, licensed practical nurse, or ..

Job Information Humana Senior Product Management Professional in Honolulu Hawaii Description The Senior Product Management Professional must be able to lead, plan and track all phases of the product life cycle, ..

... measures the effectiveness of existing business processes and develops sustainable, repeatable ... develops sustainable, repeatable and quantifiable business process improvements. The Senior Process ... Team's quality program Research best..

... hospice and palliative care pharmacy business acquired by Humana in 2021. ... by adjusting/correcting authorizations in dispensing systems and PBM systems Ensure timely adjudication of prescription ... of prescription..

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 ..

... 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..

... 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..

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 ..

... operations, strategic planning and specific business performance issues. The Financial Analytics ... operations, strategic planning and specific business performance issues Experience in compiling, ... the ability to communicate across..

... 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..

... 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..

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

Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The Provider Contracting Executive engages in strategic negotiation and relationship-building with a variety of ..

... 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..

Job Information Humana Medical Director - Medicare Pharmacy Appeals in Honolulu Hawaii Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..

... and recovery on Database Management Systems, configures database parameters, and prototype ... by database size, technology used, systems feeds and interfaces) with multiple ... calls with multiple IT and..

... 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..

Description The Market Development Professional 2 provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Market Development ..

... 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..

... 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..

Job Information Humana IAM Senior Data Engineer in Honolulu Hawaii Description The Senior Data Engineer Designs, builds, and maintains data processing architectures and solutions enabling the efficient conversion of structured and ..