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Description Responsibilities The Senior Market/Industry Insights Professional delivers clinical/medical policy insight and information to both internal and external customers for Humana Government Business (HGB). The Senior Market/Industry Insights Professional will draft ..
Job Information Humana Provider Installation Professional 2 in Louisville Kentucky Description The Provider Installation Professional 2 administers the installation of assigned provider accounts. Performs analysis, set-up, database loading, and preparation of ..
... Qualifications Bachelor's degree in Business, Healthcare, or related field Certified Professional ... related field Certified Professional in Healthcare Quality (CPHQ) Experience with quality ... plan-do-study-act Advanced degree in business,..
Description The Quality Compliance Nurse (RN) Professional uses quality improvement methodology to analyze data and works collaboratively with teams to improve quality for KY Medicaid members. How We Value You Benefits ..
Location : US Type : Full-Time Salary : $19.00 - $23.00 / Hourly / DOE This is a full-time position that will be based from your home office, reporting to the ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Description Are you passionate about contributing to the well-being of the Medicare population? Are you looking for a role that will let your creative ideas, relationship management and sales ability shine? ..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achieving path-to-value goals through analysis and ..
Description The Senior Professional collaborates with healthcare professionals, pharmacists, and other business functions to implement formulary and medical strategies for the Medicaid line of business. Makes decisions on moderately complex to ..
Job Information Humana Digital Channel Sales Strategy And Transformation Lead - Louisville, KY or Remote in Louisville Kentucky Description The Digital Channel Sales Strategy and Transformation Lead enhances the consumer experience ..
Description The Sales Support Representative 3 provides timely and effective ... of agents. The Sales Support Representative 3 performs advanced administrative/operational/customer support ... skills. Responsibilities The Sales Support Representative 3..
Job Information Humana Senior Contract Tools, Education, Processes Professional - Remote in Louisville Kentucky Description The Senior Contract Tools, Education, Processes Professional builds templates, standard documentation, policy and protocol, case studies, ..
Job Information Humana Quality Compliance Nurse Professional 2 - Louisville, KY in Louisville Kentucky Description The Quality Compliance Nurse Professional 2 uses quality improvement methodology to analyze data and works collaboratively ..
... Foster Care team. Understanding of healthcare quality measures (example HEDIS, CAHPS) ... their home. We are a healthcare company committed to putting health ... Preferred Qualifications Certified Professional in..
... in Louisville Kentucky Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..
Description The Large Group Medical Underwriter computes rates for both renewing and prospective moderate to complex group accounts. The Large Group Underwriter 2 work assignments are varied and frequently require interpretation ..
Job Information Humana Senior Consumer Service Operations Analyst-Remote KY, IN or WI in Louisville Kentucky Description The Senior Consumer Service Operations Professional is responsible for the daily activities across multiple service ..
... in Louisville Kentucky Description The Healthcare Quality Reporting & Improvement (HQRI) ... contribute as a clinical industry representative. As a leader, this role ... guidance to ensure physician and..
... Pharmacist, Registered Nurse, other licensed healthcare professional 3 years of experience ... years of experience working on healthcare quality and performance measure improvement ... Qualifications Bachelor's degree in Business,..
Description The Healthcare Financial Analyst collects, analyzes, and ... Central Region is seeking a Healthcare Financial Analyst to partner closely ... leadership and external exposure with healthcare providers in OH,..