THE LARGEST COLLECTION OF HEALTHCARE JOBS ON EARTH
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... Advanced degree Experience in Project Management Experience with multiple utilization management platforms Additional Information Interview Format:As ... interviews. Alert: Humana values personal identity protection. Please be aware that .....
... Care Managers, because our case management services are centered on the ... Previous adult chronic conditions care management. Previous experience in care management. Knowledge of complex care management and..
Description The Utilization Management Nurse utilizes clinical nursing skills ... benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... by delivering personalized, simplified, whole-person healthcare experiences. Recognizing..
Description The Care Management Support Assistant 2 contributes to ... contributes to administration of Care Management. Provides non-clinical support to the ... for well-being Responsibilities The Care Management Support Assistant..
Description The Lead Cloud Architect leads the planning, design, and engineering of enterprise-level infrastructure and platforms related to cloud computing. The Lead Cloud Architect works on problems of diverse scope and ..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Fairmont Minnesota Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..
Job Information Humana Quality Improvement Coordinator in Fairmont Minnesota Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program. The ..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding ..
Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain high quality ..
... role is modeled after top-tier management consultancies. As such, day-to-day activities ... Data Science, Data Analytics, etc.) Healthcare industry experience Management consulting experience preferred Familiarity with ... encourage personal..
... for one of the leading healthcare organizations. Reporting to Director of ... by delivering personalized, simplified, whole-person healthcare experiences. The Associate Director, Full ... database integrations, network and hosting..
... 40) market leader in integrated healthcare with a clearly defined purpose ... Responsibilities Key Responsibilities Leverage product management expertise to create simple, personalized ... the moment of need for..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..
... or more years of product management experience and/or clinical implementation Leadership ... and Outlook Excellent organizational, time management and communication skills Ability to ... Qualifications: Master's degree Pharmacy Benefit..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
Description The Senior Application Architect designs and develops IT applications and architects solutions to business problems in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments ..