Healthcare Resource Network Jobs in South Dakota

Description The Senior Clinical Strategy and Practice Professional builds strategies for development, engagement, best clinical practices and processes for clinical community within the enterprise The Senior Clinical Strategy and Practice Professional ..

Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Aberdeen South Dakota Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the ..

Job Information Humana Manager, Pharmacy and Medical Trend in Aberdeen South Dakota Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and ..

Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and proactive individual to contribute to a high performing team that ..

... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an accomplished healthcare leader for the newly-created role ... quality, appropriate, and cost-effective behavioral..

Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The Provider Contracting Executive engages in strategic negotiation and relationship-building with a variety of ..

Description Are you an experienced mainframe storage professional seeking opportunities to have significant impact in the governance, strategy, and architecture of a large mainframe storage environment? Are you interested in expanding ..

Job Information Humana Senior Market Development Professional - Behavioral Health/Medicaid in Aberdeen South Dakota Description The Senior Market Development Professional provides support to assigned health plan and/or specialty companies relative to ..

... is able guide members to in-network providers, answer general benefit questions, ... education; offer support with managing network participation by using your knowledge ... degree in business or related..

... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... of the strategy inclusive of..

Description The Senior Market Development Professional provides support to assigned health plan(s) relative to Behavioral Health RFPs, product implementations and operational support. The Senior Market Development Professional work assignments involve moderately ..

Job Information Humana Nurse Advice Line Telephonic Nurse - Remote- RN Compact License States Only in Aberdeen South Dakota Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ..

Description The Financial Analytics Lead manages data to support and influence decisions on day-to-day operations, strategic planning and specific business performance issues. The Financial Analytics Lead works on problems of diverse ..

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..

Job Information Humana Nurse Advice Line Telephonic Nurse - RN Compact License States Only in Aberdeen South Dakota Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses ..

Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..

Description The Senior Professional, Medicaid Network Strategy will be accountable for ... of Humana Healthy Horizon's (Medicaid) network and provider strategy for its ... to identify, interpret, and produce network..

... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an accomplished healthcare leader for the newly-created role ... quality, appropriate, and cost-effective behavioral..

... is able guide members to in-network providers, answer general benefit questions, ... education; offer support with managing network participation by using your knowledge ... degree in business or related..

... for one of the leading healthcare organizations. Reporting to Director of ... by delivering personalized, simplified, whole-person healthcare experiences. The Associate Director, Full ... development, back-end development, database integrations,..

Description Are you passionate about discovering opportunities to improve coding efficiencies and mentoring application developers in proper coding techniques for mainframe programs? Do you have a solid Cobol, DB2, and CICS ..