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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 ..
Description The Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires a solid understanding of how organization capabilities ..
... Las Vegas Nevada Description The Healthcare Quality Reporting & Improvement (HQRI) ... its Provider Support team and associate's responsibilities. HQRI is an organization ... operations, and performance nationally. The..
Behavioral Health Solutions (BHS) is seeking a hard-working, self-driven individual to join our behavioral team as a Behavioral Coordinator. A behavioral care coordinator is a healthcare professional who is responsible for ..
... Las Vegas Nevada Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... corporate strategic initiatives. Responsibilities The..
Entourage is accepting resumes for this role: Pharmacy Technician Place of Performance: North Las Vegas, NV General Description: Under the supervision of a pharmacist, pharmacy technician shall perform routine pharmacy functions ..
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 ..
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..
Job Information Humana Healthcare Strategy Consultant in Las Vegas ... Las Vegas Nevada Description The Healthcare Strategy Consultant provides data-based strategic ... Responsibilities Humana, a Fortune 60 Healthcare Company Humana..
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 ..
Develops and implements standard of care relevant to patient services and personnel. Supervises all nursing personnel who deliver direct patient services. Coordinates all patient services. Retains quality personnel through hiring, training ..
Description Manages a team of coding educators and reports to Risk Adjustment Director. Responsible for implementing operational and clinical best practices in the risk adjustment methodology, understanding clinical suspects and appropriate ..
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 ..
Job Information Humana Strategy Advisor, Healthcare Strategy in Las Vegas Nevada ... Nevada Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..
Job Information Centerwell Social Services Resource Coordinator- CenterWell- Las Vegas, NV in Henderson Nevada Description Responsibilities The Social Service Resource Coordinator employs a variety of strategies, approaches and techniques to manage ..
... 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.)..
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..
Description The Associate Director, Care Management leads teams ... responsible for care management. The Associate Director, Care Management requires a ... lifelong well-being by giving our associate fresh perspective, new..
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 ..
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 ..
Job Information Humana Senior Innovation Portfolio Strategy Professional in Las Vegas Nevada Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives ..