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Description The Senior Policy Governance Professional policy Governance is the combination of ... toward achieving goals. The Senior Policy Governance Professional work assignments involve ... variable factors. Responsibilities The Senior..
Description Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated reporting. The Consumer Service Operations Professional 2 evaluates ..
... Responsibilities The Project Manager, Financial Healthcare Advisor manages all aspects of ... adherence. Develop and update formal policy & procedures to align with ... with key partners and data..
Title: Quality Assurance Analyst Location: Albany, NY. Local candidates only. Candidates who do not reside in the Albany, NY area will not be considered for the position. This position has a ..
... Information Humana Senior Corporate Strategy Analyst in Albany New York Description ... Responsibilities The Senior Corporate Strategy Analyst role is modeled after top-tier ... Data Science, Data Analytics, etc.)..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
... Humana Lead Product Manager - Healthcare API in Albany New York ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..
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 ..
Job ID 21000MUSAvailable 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 Code 2170181 Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly ..
Description The Market Development Professional 2 provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Market Development ..
Contact Agency Children & Family Services, Office of Title Child Protective Services Specialist 1 Occupational Category Enforcement or Protective Services Salary Grade 16 Bargaining Unit PS&T - Professional, Scientific, and Technical ..
Job ID 21000N1GAvailable Openings 1PURPOSE AND SCOPE: The professional registered nurse (CAP RN 2) position may be an entry level CAP designation for new employees that meet the CAP RN 2 ..
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 ..
... group is seeking a Senior Analyst in Corporate Development to assist ... across the enterprise. The Senior Analyst will participate in many components ... the company. Responsibilities The Senior..
... Acquisitions group is seeking an Analyst in Corporate Development to assist ... acquisitions across the enterprise. The Analyst will be an integral part ... for leadership. Responsibilities The M&A..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
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 Corporate Strategy Consultant in Albany New York Description Humana's Corporate Stragtegy team is a high-performing organization that works closely with Humana's senior leaders to help chart the course ..
... Information Humana Director of Public Policy in Albany New York Description ... Description The Director of Public Policy role resides in Humana's Corporate ... is charged primarily with public..
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 Humana's Marketing Organization is seeking a Consumer Experience Professional to join the Market Research Loyalty & Advocacy Insights team. This enterprise team focuses on data analysis and generating insights from ..
Description The Data and Reporting Professional II generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The ..
