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Description The Senior Medical/Financial Risk Evaluation Professional is responsible for supporting ... risk. The Senior Medical/Financial Risk Evaluation Professional work assignments involve moderately ... or data requires an in-depth evaluation..
... for a Senior Business Systems Analyst to join working remote anywhere ... US! The Senior Business Systems Analyst performs analysis of business, process ... specifications. The Senior Business Systems..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships ... goals. The Senior Value-Based Programs Analyst works on problems of diverse ... Responsibilities The Senior Value-Based Programs Analyst..
Description The Senior Utilization Management Behavioral Health Professional utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Senior Utilization ..
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 ..
Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
Description Humana is seeking a Physician Strategy Sr. Professional to join our growing team. The Physician Strategy professional will be responsible for setting and implementing strategy for internal and external physician ..
RN—ClinicalAbout this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Louisville Kentucky Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be responsible ..
Job Information Humana Healthcare Services, Pharmacy Product Owner in Louisville Kentucky Description The Senior Product Owner is responsible for conveying product vision and roadmap to an Agile delivery team by defining ..
Job Information Humana Senior FP&A Analyst in Louisville Kentucky Description The Senior Financial Planning and Analysis Professional analyzes and forecasts financial, economic, and other data to provide accurate and timely information ..
Job Information Humana Healthcare Services Senior Learning Design Professional-Remote ... or data requires an in-depth evaluation of variable factors. Responsibilities The ... variable factors. Responsibilities The HCS (Healthcare Services) Learning..
... Acquisitions group is seeking an Analyst in Corporate Development to assist ... Development to assist in the evaluation and execution of large scale ... acquisitions across the enterprise. The..
... group is seeking a Senior Analyst in Corporate Development to assist ... Development to assist in the evaluation and execution of large scale ... across the enterprise. The Senior..
OverviewnThe Quality Improvement (QI) Coordinator supports system-wide improvement initiatives within the facility to ensure effective and timely quality improvement activities within a designated body of work, function, or specific clinical service ..
Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work assignments ..
PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP ..
Description The Senior Compensation Professional develops, implements, and administers compensation programs. The Senior Compensation Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description The Oncology Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization, with a focus on oncology requests. The Oncology ..
Description The medical utilization management lead will oversee projecting and tracking of medical trend bender strategies, assist with medical strategy value assessments, and support pipeline medical modeling needs. We are seeking ..
... Humana Senior Consumer Service Operations Analyst-Remote KY, IN or WI in ... or data requires an in-depth evaluation of variable factors. Responsibilities Where ... and workflow scenarios, incorporating the..
... Medicaid Quality Data and Reporting Analyst generates ad hoc reports and ... or data requires an in-depth evaluation of variable factors. Responsibilities The ... Medicaid Quality Data and Reporting..
