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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 ..
Description The Actuary, Pricing MA-PD is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new ..
Description The Senior Data Scientist uses mathematics, statistics, modeling, ... transform high volumes of complex data into advanced analytic solutions. The Senior Data Scientist work assignments involve moderately ... the..
... identify and deliver strategic enablement solutions. Decisions are typically related to ... Public Health Administration, Public Policy, Healthcare Economics, Business or related field ... Demonstrated expertise in population health,..
... business and legislative or regulatory solutions/strategy Partner with the VP of ... public policy positions such as: data; resources; subject matter experts; and ... 5 or more years of..
Description The Senior Security Professional protects the organization's employees, properties, and all items of value on premises from any preventable harm or danger. The Senior Security Professional work assignments involve moderately ..
Job Information Humana Senior Data Engineer in Riverton Wyoming Description ... Riverton Wyoming Description Responsibilities Senior Data Engineer Job Description Summary The ... Job Description Summary The Senior Data Engineer..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
... the organization to establish benchmark data. Collects and analyzes process data to initiate, develop and recommend ... of the process by implementing solutions that deliver improved effectiveness, efficiency .....
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Riverton Wyoming Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be responsible ..
... encounter inbound/outbound process issues, using data from internal and external sources ... to clearly articulate issues and solutions to team members, management, and ... outbound. Identify and interpret encounter..
... the global leader in dialysis healthcare, we know what it takes ... to succeed with a premier healthcare organization. As a key member ... and other members of the..
Job Description:Lead Imaging Technologist - Day Shift M-FOur Client in Central Wyoming is seeking a Lead Imaging Technologist for a full-time, permanent opportunity. Ideal Candidate will be ARRT certified, maintain current ..
Job ID 21000KFXAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
... The Strategy Advancement Lead provides data-backed strategic direction to identify and ... Outcomes team within Humana's Home Solutions organization is focused on improving ... related to care management using..
... change.' The Associate Director, Technology Solutions devises an effective strategy for ... initiatives. The Associate Director, Technology Solutions requires a solid understanding of ... Responsibilities The Associate Director, Technology..
Description Remote Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. ..
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 ..
... mission of supporting the TRICARE healthcare program for our nation's military. ... the analysis of situations or data requires an in-depth evaluation of ... and provision resources Analyze proposed..
... The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate ... deliver value through detailed research, data-driven insights, strategic planning, structured problem ... the evolution of Humana's innovative..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Riverton Wyoming Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of the Autism ..
... and other members of the healthcare team to interpret, adjust, and ... Documentation: General Ensures all relevant data including physician orders, lab results, ... all appropriate patient related treatment..
Job Information Humana Senior Copy Writer in Riverton Wyoming Description Humana's The Hive is looking for a Senior Copy Writer to join the team! The Hive is Humana's in-house agency, a ..