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... reducing waste and overuse of healthcare services, while encouraging high value ... Trend (CAT) team needs your healthcare, analytic, and research acumen to drive clinical opportunities ... clinical opportunities..
... cost trend and improve health outcomes. The Clinical Formulary Strategy Pharmacist ... inform formulary strategies. Collaborates on research projects and develops proposals for ... projects and develops proposals for..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
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 ..
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 ..
... We deliver value through detailed research, data-driven insights, strategic planning, structured ... attributes: Creative - Adept at research to determine the opportunity and ... wellness innovation strategy. Conducts market..
Job Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) in Newport Rhode Island Description The Director, Behavioral Health (BH) Network and Market Strategy will insure that the appropriate providers ..
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 Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Job Information Humana Director, Informatics in Newport Rhode Island Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights ..
... predict likely legislative or regulatory outcomes Provide proactive strategic counsel to ... 5 or more years of healthcare policy experience including a track ... working independently on applied analysis,..
Description The Healthcare Financial Analyst collects, analyzes, and ... and member experience to financial outcomes. Responsibilities The East Central Region ... Central Region is seeking a Healthcare Financial Analyst to..
POSITION FEATURES:Acute Dialysis RN to support the following hospitals: Landmark and Roger Williams2021 and 2022 America's 'Most Loved Workplaces' by NewsweekNo prior RN dialysis experience required; 12 weeks of paid & ..
... a focus on improving health outcomes via optimized medication use. Responsibilities ... a focus on improving health outcomes via optimized medication use. Deliver ... of existing offerings. Supports clinical..
... regulatory and health plan guidelines. Research and document all encounter errors ... and process issues. Review and research inquiries from regulatory bodies and/or ... Qualifications Bachelor's degree in a..
... and achieve cost and success outcomes. Once products are launched, Lead ... and achieve cost and success outcomes. Once products are launched, Lead ... iterative development Provides ongoing success..
Description The Learning Facilitation Professional 2 (LFP2) plans, coordinates, conducts or facilitates learning experiences for Humana Military associates and/or external audiences. The LFP2 creates an environment that is conducive to learning ..
... acumen to solve for the healthcare challenges of today. The Clinical ... clinical opportunities to improve health outcomes and improve the value of ... trend including member experience, health..
Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate ..
Description The Informaticist 2 coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informaticist 2 work assignments are ..
Job Information Humana Associate VP, Clinical Pharmacy (Remote) in Newport Rhode Island Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support and strategy ..
Description Humana is a Fortune 60 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of the ..