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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..
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 & ..
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 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 ..
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 ..
... Information Humana Director, State Public Policy in Newport Rhode Island Description ... The Director of State Public Policy role resides in Humana's Corporate ... is charged primarily with public..
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 ..
Job ID 21000LRTAvailable Openings 1Position Specific Information Clinic Hours 4am - 8:30pm Monday - Saturday 3-4days - 10-14 hours shift PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position ..
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 ..
... 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..
Job Description The Credentialing Coordinator is responsible for initial credentialing and re-credentialing nurse practitioners, physician assistants and physicians in a compliant and timely manner; monitor expired credentials and compliance monitoring in ..
Job Information Humana Senior Copy Writer in Newport Rhode Island Description Humana's The Hive is looking for a Senior Copy Writer to join the team! The Hive is Humana's in-house agency, ..
Executive Assistant/Health Information Supervisor (Full Time) Location: Woonsocket, RI POSITION SUMMARY: Assist the Chief Operating Officer in the daily functions of the Administration Division, including efficient inter/intra-departmental project collaboration. Prepare and ..
Job ID 21000MPWAvailable 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 ..
... Information Humana Senior Corporate Strategy Analyst in Newport Rhode Island Description ... Responsibilities The Senior Corporate Strategy Analyst role is modeled after top-tier ... Data Science, Data Analytics, etc.)..
... Humana Lead Product Manager - Healthcare API in Newport Rhode Island ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..
... Information Humana Director of Public Policy in Newport Rhode Island Description ... Description The Director of Public Policy role resides in Humana's Corporate ... is charged primarily with public..
Job Information Humana Corporate Strategy Consultant in Newport Rhode Island Description Humana's Corporate Stragtegy team is a high-performing organization that works closely with Humana's senior leaders to help chart the course ..
... 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 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 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 ..
