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... 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..
... Clinical Analytics and Trend Program Manager in Montpelier Vermont Description The ... Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... progress and performance against the..
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..
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 Technical Product Manager - Remote in Montpelier Vermont ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
Job Information Humana Manager, Credentialing in Montpelier Vermont Description ... Montpelier Vermont Description Responsibilities The Manager, Certifications Operations reviews the applicant's ... of experience working within a healthcare setting 2..
... the Pharmacy Claims (Support Services) Manager Assist pharmacies with claims adjudication ... the Pharmacy Claims (Support Services) Manager Obtain all necessary information for ... Customer Service team with claims..
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 Director, Pharmacy Clinical Trend and Pipeline in Montpelier Vermont Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the clinical ..
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, ..
... is looking for an experienced Healthcare Investigator to join its industry ... issues regarding technical approach for project components. Exercises good judgment with ... other platform o Performing Investigative..
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 Associate VP, Clinical Pharmacy (Remote) in Montpelier Vermont Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support and strategy to ..
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 ..
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 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 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, STARS Improvement develops, implements, and manages oversight of the company's Medicare Stars Program. This position will manage the Stars improvement team. Responsibilities The Manager, STARS Improvement develops the ..
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 Information Humana Medical Director of Trend Analytics in Montpelier Vermont Description Humana's ECM organization is seeking a Medical Director of Trend Analytics. As a clinical trend leader you will support ..
... 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..