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... knowledge regarding community and regional healthcare market and industry issues which ... concentration in Business, Finance or Healthcare preferred OR RN degree with ... degree with equivalent (3 years)..
Description The Informaticist 2 coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informaticist 2 work assignments are ..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Boca Raton Florida Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts ..
Description The Grievances & Appeals Professional 2 manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Grievances & Appeals ..
Description The Senior Application Architect designs and develops IT applications and architects solutions to business problems in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments ..
... Key Responsibilities Owns the end-to-end strategy, design and execution of product ... define product success Influences product strategy and roadmap, provides consumer insights ... Management experience Specialty Pharmacy experience..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
Job Information Humana Senior Corporate Strategy Analyst in Boca Raton Florida Description ... for the company's future. In Strategy, you will identify and analyze ... investments and execute strategic transformation...
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achieving path-to-value goals through analysis and ..
Job Information Humana Nurse Practitioner - Conviva - Lake Worth, FL (Bilingual Creole/English) in Lake Worth Florida Description Humana's Primary Care Organization is one of the largest and fastest growing value-based ..
Description CarePlus is seeking a Clinical Business Lead who will lead teams of nurses and behavior health professionals responsible for Care Management and Utilization Management. The Clinical Business Lead works on ..
Description The Nurse Practitioner applies advanced education and clinical competencies to achieve optimal patient outcomes. The Nurse Practitioner works on problems of diverse scope and complexity ranging from moderate to substantial. ..
... Raton Florida Description Humana's Corporate Strategy team is a high-performing organization ... for the company's future. In Strategy, you will identify and analyze ... investments and execute strategic transformation...
Job Information Humana Senior Provider Contracting Professional in Boca Raton Florida Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an ..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..
Job Information Humana Corporate Strategy Consultant in Boca Raton Florida ... for the company's future. In Strategy, you will identify and analyze ... investments and execute strategic transformation. 'Strategy Operations'..
Description The Lead Cloud Architect leads the planning, design, and engineering of enterprise-level infrastructure and platforms related to cloud computing. The Lead Cloud Architect works on problems of diverse scope and ..
Description The Behavioral Health Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer Group product implementation, operations, contract compliance, and federal contract application submissions. The ..
