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... Services for National Medicaid Clinical Operations utilizes clinical skills to support ... grow, the National Medicaid Clinical Operations team is expanding our shared ... Services for National Medicaid Clinical..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..
Job ID 21000MYUAvailable Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..
Job Information Humana Senior Strategy & Program Development Professional (Remote) in Davenport Iowa Description Responsibilities Humana's Corporate Marketing team is looking for a Senior Strategy & Program Development Professional to join ..
... Advisor - Medicaid Provider Service Operations in Davenport Iowa Description The ... Advisor - Medicaid Provider Service Operations provides support to assigned health ... to Medicaid Group product implementation,..
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,..
Job Information Humana Medicare/Medicaid Program Manager -- Remote in Davenport Iowa Description Humana's Enterprise Shared Services organization is seeking an outstanding cross-functional program leader to join its Business Management team. This ..
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 ..
... the advancement of Medicaid Clinical Operations and Programs. Responsibilities Responsibilities of ... a clinical environment or within healthcare operations 5 or more years Healthcare or Managed Care leadership experience,..
... in Davenport Iowa Description The Healthcare Quality Reporting & Improvement (HQRI) ... to Humana's national planning and operations for Risk Adjustment, Stars, and ... national provider education strategy and..
Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ..
Job ID 21000N4YAvailable 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. ..
Description The Director, Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking and forecasting, supports financial sales analysis and market event news. This position will work and collaborate with ..
Description The Remote Systems Clinical Pharmacist will provide excellent customer service to both internal and external customers by developing and maintaining relationships with Account / Clinical Management and PCO-IPU Operations teams. ..
Description The Supervisor, UM Administration contributes to administration of utilization management. The Supervisor, UM Administration works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to ..
... and execute strategic transformation. 'Strategy Operations' is one of a three ... Strategy Planning functions. The Strategy Operations team provides consulting services to ... the other teams in Strategy..
Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. ..
Job Information Humana Network Operations Lead - Behavioral Health/Medicaid in ... Davenport Iowa Description The Network Operations Lead maintains provider relations to ... claims data needed for service operations. The..
... behavioral health care strategy and/or operations. The Behavioral Health Medical Director ... and clinical guidance for Medical Operations and Market Operations Develop comprehensive care programs for ... programmatic requirements..
Job Information Humana VP, Clinical Operations in Davenport Iowa Description VP, ... Davenport Iowa Description VP, Clinical Operations and Chief Clinical Officer of ... of the Home Health clinical operations...
Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Davenport Iowa Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..
Description The Network Operations Coordinator 4 maintains provider relations ... provider data needed for service operations. The Network Operations Coordinator 4 assumes ownership and ... for well-being Responsibilities The Network..