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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 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 ..
... (ECM) team needs your business, healthcare and research acumen to solve for the ... acumen to solve for the healthcare challenges of today. The Clinical ... is seeking 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 ..
... 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 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,..
Description The Integrated Model for D-SNP team is focused on delivering an integrated member experience through a multidisciplinary team. Focused on the highest risk D-SNP members, this team coordinates both inbound ..
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..
Description The Associate Director, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, ..
Job Information Humana Senior Innovation Portfolio Strategy Professional in Troy Michigan Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives that ..
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 Lead Product Manager - Healthcare API in Troy Michigan Description ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..
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 ..
Job Information Humana Strategy Advisor, Healthcare Strategy in Troy Michigan Description ... Michigan Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..
Job Information Humana Research Consulting Lead in Troy Michigan ... in Troy Michigan Description The Research Consulting Lead performs basic observational ... to guide business decisions. The Research Consulting Lead..
... 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,..
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 Information Humana Bilingual Quality Auditor in Troy Michigan Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..
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 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 ..
Description The Market Research Professional 2 performs data analysis ... and attitudinal data. The Market Research Professional 2 work assignments are ... of action. Responsibilities The Market Research Professional 2..
Job Information Humana Healthcare Strategy Consultant in Troy Michigan ... in Troy Michigan Description The Healthcare Strategy Consultant provides data-based strategic ... Responsibilities Humana, a Fortune 60 Healthcare Company Humana..
... team to have claims reprocessed. Research root cause issues and deliver ... the client. Strong Knowledge of healthcare claims, Medicaid, Medicare, Pharmacy benefits, ... background, preferred 1 years of..