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... as to maintain plan design documentation. Assist with the management of ... senior-focused health care or Humana Healthcare Services High sense of accountability ... high impact projects, experience -..
... for a Senior Business Systems Analyst to join working remote anywhere ... US! The Senior Business Systems Analyst performs analysis of business, process ... business, process and user needs,..
... Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... a Bachelor's degree in Business, Healthcare, or related field and/or 8 ... 5 years' experience in the..
Description The Senior Clinical Fraud and Waste Professional performs analysis of clinical investigations of allegations of fraudulent and abusive practices. The Senior Clinical Fraud and Waste Professional work assignments involve moderately ..
... is looking for an experienced Healthcare Investigator to join its industry ... enforcement authorities. Assembles evidence and documentation to support successful adjudication, where ... areas Bachelor's degree or significant..
Job Information Humana Healthcare Services Senior Learning Design Professional-Remote ... variable factors. Responsibilities The HCS (Healthcare Services) Learning and Curriculum Senior ... job as we are a healthcare company committed..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in San Juan Puerto Rico Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews ..
Job Information Humana Product Marketing Professional (Remote) in San Juan Puerto Rico Description Humana's Primary Care Organization is looking for a Product Marketing Professional to join the team working anywhere in ..
Job Information Humana Senior Data Manager - Primary Care Organization in San Juan Puerto Rico Description The Senior Data Manager supports all aspects of configuration control, data management, and deficiency reporting. ..
Job Information Humana Supervisor, Care Management Support/FULLY BILLINGUAL (Healthcare/ Analytical Support Mgmt.) San Juan, PR in San Juan Puerto Rico Description The Supervisor, Care Management Support contributes to administration of care ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Job Information Humana Lead - Technology Solutions Encounters in San Juan Puerto Rico Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team ..
Job Information Humana FP&A Lead, Medicaid Market in San Juan Puerto Rico Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South ..
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 ..
Job Information Humana IAM Senior Data Engineer in San Juan Puerto Rico Description The Senior Data Engineer Designs, builds, and maintains data processing architectures and solutions enabling the efficient conversion of ..
... looking for an experienced Senior Healthcare Investigator to join its industry ... enforcement authorities. Assembles evidence and documentation to support successful adjudication, where ... Qualifications Bachelor's degree or significant..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in San Juan Puerto Rico Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in San Juan Puerto Rico Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work ..
Description Are you passionate about discovering opportunities to improve coding efficiencies and mentoring application developers in proper coding techniques for mainframe programs? Do you have a solid Cobol, DB2, and CICS ..