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... technological solutions to meet Medicaid business needs within a specified scope ... developing, guiding, and documenting clinical business system and functional processes, influences system design to optimize support and..
... is look for a Senior Business Systems Analyst to join working remote anywhere ... in the US! The Senior Business Systems Analyst performs analysis of business, process and user..
... Medicaid Quality Data and Reporting Analyst generates ad hoc reports and ... report information for end-users using system tools and database or data ... Medicaid Quality Data and Reporting..
... responsibility for staff leadership across business and clinical operations within the ... grow our Managed Service (MSO) business Success in this position shall ... in large, complex, and integrated..
Job Information Humana IAM Senior Data Engineer in Glen Allen Virginia Description The Senior Data Engineer Designs, builds, and maintains data processing architectures and solutions enabling the efficient conversion of structured ..
... report information for end-users using system tools and database or data ... specifications for reports based on business requests. Understands department, segment, and ... Detail-Oriented Data Analysis Effectiveness Measurement..
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 ..
Description The Lead, Database Administration (Oracle) manages and maintains all production and non-production databases. Responsible for standards and design of physical data storage, maintenance, access and security administration. The Lead, Database ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Glen Allen Virginia Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be ..
Description The Senior Utilization Management Behavioral Health Professional utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Senior Utilization ..
... new technological solutions to meet business needs within a specified scope ... new technological solutions to meet business needs within a specified scope ... encompasses multiple systems teams and..
... and executing on Humana's consumer-focused business strategy demands constant negotiation with ... and documentation within a tracking system. May assist with identifying and ... to ensure effective and efficient..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
... departments on designing and implementing system/business process adjustments as needed to ... Qualifications Bachelor's degree in a healthcare field or equivalent experience. 5 ... years of experience in managed..
... with other analytics, IT and business areas across the organization to ... and delivering on Health Informatics business initiatives. The Director of Health ... with other analytics, IT and..
... live in an age when healthcare isn't only about health, it's ... a focus on a fresh healthcare perspective, new team members are ... both professionally and personally. The..
... measures the effectiveness of existing business processes, and develops sustainable, repeatable, ... in the fast-paced industry of healthcare, we offer our associates career ... impact on the future of..
Description The Market Development Professional 2 provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Market Development ..
... Humana Lead Product Manager - Healthcare API in Glen Allen Virginia ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..
... as a focus on collaborative business relationships, value based care, population ... whether services provided by other healthcare professionals are in agreement with ... Delivery Systems, health insurance, other..
... As a Data and Reporting Analyst, you will be responsible for ... growth. The Data and Reporting Analyst will integrate data from multiple ... and analysis to support critical..
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 ..