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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 ... responsible for care management. The Associate Director, Care Management requires a ... lifelong well-being by giving our associate fresh perspective, new..
... 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.)..
... Lancaster South Carolina Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... corporate strategic initiatives. Responsibilities The..
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 ..
OBGYN Physician Opportunity in South Carolina An established and growing OB/GYN practice is looking for a full-time OB/GYN to join their current physician. Delivering at a Trauma Center and Pediatric Trauma ..
... Lancaster South Carolina Description The Healthcare Quality Reporting & Improvement (HQRI) ... its Provider Support team and associate's responsibilities. HQRI is an organization ... operations, and performance nationally. The..
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, 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 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 ..
SC-10712-1 Specific duties include: Performs systems analysis activities for the Production MMRP systems. Gathers and develops business requirements and acceptance criteria for Production defects and enhancements Develops DDI artifacts compliant with ..
Job Information Humana Strategy Advisor, Healthcare Strategy in Lancaster South Carolina ... Carolina Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..
... 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..
Job Information Humana Healthcare Strategy Consultant in Lancaster South ... Lancaster South Carolina Description The Healthcare Strategy Consultant provides data-based strategic ... Responsibilities Humana, a Fortune 60 Healthcare Company Humana..
... 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 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..
Psychiatry Locums Needed In The Upstate of South Carolina Looking for a full-time psychiatrist working in the ED in SC. Involves assessing patients with primary psychiatric complaints, as well as seeing ..
Job Information Humana Senior Innovation Portfolio Strategy Professional in Lancaster South Carolina Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives ..