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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..
... 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..
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 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). ..
... 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 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 Director, Pharmacy Clinical Trend and Pipeline in Glen Allen Virginia Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate 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..
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 Glen Allen ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
... 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..
... Clinical Analytics and Trend Program Manager in Glen Allen Virginia Description ... Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... progress and performance against the..
Job Information Humana Manager, Credentialing in Glen Allen Virginia ... Allen Virginia Description Responsibilities The Manager, Certifications Operations reviews the applicant's ... of experience working within a healthcare setting 2..
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 Associate VP, Clinical Pharmacy (Remote) in Glen Allen Virginia Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support and strategy ..
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 ..
... is an employee-owned corporation providing research services to agencies of the ... state and local governments. Westat's research, technical, and administrative staff of ... significant public health and epidemiologic..
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 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..
Job Information Humana Medical Director of Trend Analytics in Glen Allen Virginia Description Humana's ECM organization is seeking a Medical Director of Trend Analytics. As a clinical trend leader you will ..