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Description Humana's National Medicaid Quality team is seeking a Market Consultant to be responsible for supporting individual Medicaid market quality teams and serving as the main relationship broker and liaison to ..
Description As the Associate Director, IT Project Management, you will use your background and experience in program management to lead and manage a team of PMO professionals that support the delivery ..
Job Information Humana Research Consulting Lead in Pittsburgh Pennsylvania Description ... Pittsburgh Pennsylvania Description The Research Consulting Lead performs basic observational and ... guide business decisions. The Research Consulting Lead..
Pulmonary/Critical Care opening at Pittsburgh market place working at one facility about 45 minutes from Pittsburgh airport. Hospital employed. 12 bed ICU. Prefer BE/BC in both Pulmonary and Critical Care. Call ..
Description The Associate Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate ..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..
Job Information Humana Healthcare Strategy Consultant in Pittsburgh Pennsylvania ... in Pittsburgh Pennsylvania Description The Healthcare Strategy Consultant provides data-based strategic ... Responsibilities Humana, a Fortune 60 Healthcare Company Humana..
Job Information Humana Associate Vice President, Quality Improvement for ... a clinical environment or within healthcare operations 5 or more years ... operations 5 or more years Healthcare or Managed..
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 ..
... The Strategy Operations team provides consulting services to Humana's lines of ... Required Qualifications 2-5 years of consulting, corporate strategy, (or data/business analysis ... Data Science, Data Analytics, etc.)..
... and overall strategic positioning. This associate will also collaborate closely with ... health care trade association, a consulting/lobbying firm engaged in health policy, ... 5 or more years of..
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 ..
... the mission of a leading healthcare company committed to improving the ... care strategist with responsibility for consulting with executive leadership to synthesize ... possess working knowledge of contemporary..
Job Information Humana Senior Innovation Portfolio Strategy Professional in Pittsburgh Pennsylvania Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives that ..
Job Information Humana Strategy Advisor, Healthcare Strategy in Pittsburgh Pennsylvania Description ... Pennsylvania Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..
... in Pittsburgh Pennsylvania Description The Healthcare Quality Reporting & Improvement (HQRI) ... its Provider Support team and associate's responsibilities. HQRI is an organization ... operations, and performance nationally. The..
... in Pittsburgh Pennsylvania Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... corporate strategic initiatives. Responsibilities The..
Neuro-hospitalist needed Pittsburgh, PA - Large hospital facility at Pittsburgh Marketplace in need of another Neuro Hospitalist interested in stroke patients and general neurology inpatient consults. Must be BE/BC in Neurology. ..
Description The Consultative Pharmacy Technician 2 certified Pharmacy Technician who acts as an intake for all calls from patients, pharmacies and providers. The Consultative Pharmacy Technician 2 performs varied activities and ..
Job Information Humana Healthcare Services Senior Learning Design Professional-Remote ... variable factors. Responsibilities The HCS (Healthcare Services) Learning and Curriculum Senior ... years of experience in performance consulting, Instructional Design..
We have an immediate opportunity for Nurse Practitioner. General Summary: Through collaboration with a East End Behavioral Health Hospital staff physician, supervised by the CEO of Behavioral Health, and in conjunction ..