Healthcare Research Jobs in Riverton

Description The Senior Portfolio Management Professional collaborates with the business portfolio team to align the IT portfolio and demand. The Senior Portfolio Management Professional work assignments involve moderately complex to complex ..

Description Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain ..

Job Information Humana Assoicate Actuary, Pricing MA-PD Medicare Advantage Prescription Drug-2 in Riverton Wyoming Description The Associate Actuary role is a newly created role within the Senior Products Actuarial Medicare Advantage ..

Job Information Humana Care Manager, Telephonic Nurse 2 Certified Diabetes Care and Education Specialist-Remote-US in Riverton Wyoming Description The Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless nursing ..

Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..

Description Assist local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients; reconcile historic billing issues. Responsibilities There are 4 shifts available for this role. All ..

Description The Network Operations Coordinator 3 manages provider data including but not limited to demographics and contract accuracy. Additional Information - How we Value You Benefits starting day 1 of employment ..

Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..

Job Information Humana Finance M&A Integration Senior Professional (Remote) in Riverton Wyoming Description Humana's Finance Shared Services organization is looking for a Finance M&A Integration Senior Professional to drive best practices ..

Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..

Description The RN Clinical team is looking for a dynamic Registered Nurse to join the team working remote anywhere in the US or in Louisville, KY! We are looking for someone ..

Description The Director, Clinical Pharmacy Drug Evaluation and Policy Strategies oversees drug class reviews/evaluation, clinical policy strategy development, research, P&T committee oversight, and accreditation. This position will work and collaborate with ..

Job Information Humana Director, Informatics in Riverton Wyoming Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..

Description The Process Improvement Lead analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems of ..

Job Information Humana Associate Actuary, Pricing Medicare Advantage Prescription Drug in Riverton Wyoming Description The Associate Actuary role is a newly created role within the Senior Products Actuarial Medicare Advantage Prescription ..

... 5 or more years of healthcare policy experience including a track ... track record of applied analysis, research, and resource development supporting healthcare policy and for translating information .....

Description The Senior Value-Based Analyst supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Analyst works on problems of diverse ..

... is looking for an experienced Healthcare Investigator to join its industry ... other platform o Performing Investigative research and medical record reviews o ... areas Bachelor's degree or significant..

Job Information Humana Senior Contract Tools, Education, Processes Professional - Remote in Riverton Wyoming Description The Senior Contract Tools, Education, Processes Professional builds templates, standard documentation, policy and protocol, case studies, ..

Job Information Humana Senior Innovation Portfolio Strategy Professional in Riverton Wyoming Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives that ..

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..

... 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..

Description Job Description Summary Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to ..