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... broad knowledge to the process research best practices within and outside ... required. They are to provide project and program coordination to guide ... improvement efforts. Develops and manages..
Description The Director, Process Improvement analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Director, Process Improvement requires an in-depth understanding ..
... acumen to solve for the healthcare challenges of today. The Clinical ... low value care and related healthcare resource waste, with a focus ... news and reports in the..
Job Information Humana Technical Product Manager - Remote in Lancaster South ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
Job Information Humana Associate VP, Clinical Pharmacy (Remote) in Lancaster South Carolina Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support and strategy ..
Job Information Humana Medical Director of Trend Analytics in Lancaster South Carolina Description Humana's ECM organization is seeking a Medical Director of Trend Analytics. As a clinical trend leader you will ..
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 Manager, Pharmacy and Medical Trend in ... on key metrics. Support clinical research integration activities with internal research department. Collaborate with other leaders ... job as we..
... Clinical Analytics and Trend Program Manager in Lancaster South Carolina Description ... Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... progress and performance against the..
... changes, be responsible for overarching project planning and deliverables for the ... program. As well as to research & resolve beneficiary & provider ... objectives. Required Qualifications Experience in..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Lancaster South Carolina Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the ..
Job Information Humana Product Manager Lead, Pharmacy Transformative Products Team, ... 60 market leader in integrated healthcare with a clearly defined purpose ... us redefine the future of healthcare. With..
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 This role has responsibility for the oversight and monitoring of the Autism Care Demonstration (ACD) team performance to ensure compliance with contract and complex ACD policy requirements as defined by ..
... We deliver value through detailed research, data-driven insights, strategic planning, structured ... planning, structured problem solving, and project management rigor. We are a ... solutions. Creative - Adept at..
Description The Claims Research & Resolution Professional 2 works with enterprise shares team comprised of calls/claims/contracting and external provider associates researching the resolution to a pending inquiry. Understands department, segment, and ..
Description The Manager, Software Engineering codes software applications ... based on business requirements. The Manager, Software Engineering works within specific ... schedules and goals. Responsibilities The Manager, Software Engineering standardizes..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to solve for the healthcare challenges of today. The Clinical Analytics and Trend team uses advanced scientific techniques, ..
Job Information Humana Manager, Credentialing in Lancaster South Carolina ... South Carolina Description Responsibilities The Manager, Certifications Operations reviews the applicant's ... of experience working within a healthcare setting 2..
... acumen to solve for the healthcare challenges of today. The Clinical ... anywhere The Clinical Trend Program Manager (PM) role designs, communicates, and ... progress and performance against the..
... KEY ACCOUNTABILITIES Process Improvement and Project Management Contributes to the identification ... projects, key insights, and ensure project milestones and deliverables are implemented ... manner Develops and manages detailed..
... the mission of a leading healthcare company committed to improving the ... We deliver value through detailed research, data-driven insights, strategic planning, structured ... planning, structured problem solving, and..