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... expertise within the realm of Healthcare Quality operations and improvement methodology, ... a subject matter expert in healthcare quality measurement, best practices, and ... Assurance (NCQA), the Agency for..
Description The Senior Claims Research & Resolution Professional manages claims ... the organization. The Senior Claims Research & Resolution Professional work assignments ... Responsibilities Description The Senior Claims Research &..
... Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... information obtained through business partners Research best practices and determine how ... a Bachelor's degree in Business,..
Peer Parent Consultant (Full Time) Location: Woonsocket, RI Position Overview: As a Parent Peer Consultant, you will play a pivotal role in providing guidance, empathy, and practical assistance to parents who ..
... is seeking an experienced Market Research Lead to join the Market ... Lead to join the Market Research Department working remote anywhere in ... membership. Responsibilities As the Market..
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 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 ..
Description The Medical Coding Coordinator 2 will process and apply the appropriate Code Edit claim payment reductions and denials based on software recommendation. The Medical Coding Coordinator 2 reviews submitted medical ..
Description The Senior UX Research Professional performs data analysis supporting ... attitudinal data. The Senior UX Research Professional work assignments involve moderately ... factors. Responsibilities The Senior UX Research Professional..
Peer Parent Consultant CBIC (Full Time) Location: Woonsocket, RI Community Based Intensive Care Position Overview: As a Parent Peer Consultant, you will play a pivotal role in providing guidance, empathy, and ..
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 Description The Pharmacy Professional Practice Coordinator will support the day-to-day operational responsibilities for the CVS Pharmacy Professional Practice Team's Monitoring and Intervention Programs. This includes daily coordination of operational activities ..
Mommy Jobs Online (mommyjobsonline.com) / 405 418 6160 Mommy Jobs Online is actively hiring customer service professionals to work from home fielding inbound calls from our customers. Our Customer Service Representatives ..
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 ..
... 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 ... have the..
Job Information Humana Healthcare Strategy Consultant in Newport Rhode ... Newport Rhode Island Description The Healthcare Strategy Consultant provides data-based strategic ... Responsibilities Humana, a Fortune 60 Healthcare Company Humana..
Job Information Humana Strategy Advisor, Healthcare Strategy in Newport Rhode Island ... Island Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..
... 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..
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 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 ..
Job Information Humana Senior Innovation Portfolio Strategy Professional in Newport Rhode Island Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives ..
Job Information Humana Bilingual Quality Auditor in Newport Rhode Island Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. ..
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 ..