THE LARGEST COLLECTION OF HEALTHCARE JOBS ON EARTH
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Description The Director, Strategy Advancement provides data-based strategic direction identifying and delivering new avenues of growth is a critical company priority, championed by the SVP of Retail Strategy & Product. We're ..
... whether services provided by other healthcare professionals are in agreement with ... whether services provided by other healthcare professionals are in agreement with ... Delivery Systems, health insurance, other..
... 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..
... interdependencies between technology, operations and business needs. Required Qualifications Bachelor's degree. ... (3) years of experience in healthcare quality. Understanding of healthcare quality improvement strategies such as ... Model..
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 ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Honolulu Hawaii Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
... Develop features, user stories and business requirements Improve coordination over cross-functional ... functional partners, market partners, and business owners. They recommend prioritization, schedule ... Dev Ops standards and prioritizing..
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 Call Center Pharmacy Claims Technician, Remote in Honolulu Hawaii Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative ..
Job Information Humana IAM Senior Data Engineer in Honolulu Hawaii Description The Senior Data Engineer Designs, builds, and maintains data processing architectures and solutions enabling the efficient conversion of structured and ..
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 ..
... 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..
... operations, strategic planning and specific business performance issues. The Financial Analytics ... operations, strategic planning and specific business performance issues Experience in compiling, ... the ability to communicate across..
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 ..
... 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..
... between IT and the aligned business group(s). The Lead manages our ... Development Team, facilitates guidance to business partners on information technology (IT) ... leverages industry trends, and challenges..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Honolulu Hawaii Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..
Job Information Humana Senior Product Management Professional in Honolulu Hawaii Description The Senior Product Management Professional must be able to lead, plan and track all phases of the product life cycle, ..
... 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..
