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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..
... 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..
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..
Job Information Humana Medical Director of Trend Analytics in Newport Rhode Island 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 ..
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 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 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..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Newport Rhode Island Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the ..
... 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..
Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives that maximize customer value to create a differentiated value proposition for Humana ..
Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... home anywhere The Senior Product Manager ideates,..
Job Information Humana Technical Product Manager - Remote in Newport Rhode ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
... Clinical Analytics and Trend Program Manager in Newport Rhode Island Description ... Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... progress and performance against the..
... 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 Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
Job Locations: US-Virtual/Remote Category: Medical Coding Are you interested in joining one of the nation’s leading providers of medical coding services that is experiencing impressive year-over-year growth? Mommy Jobs Online is ..
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 Newport Rhode Island ... Rhode Island Description Responsibilities The Manager, Certifications Operations reviews the applicant's ... of experience working within a healthcare setting 2..
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). ..
Job Information Humana Associate VP, Clinical Pharmacy (Remote) in Newport Rhode Island Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support and strategy ..
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..