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... products and uses customer and business partner feedback to ensure products ... Support strategic initiatives for Medicare business including growth, retention, member experience, ... Role Essentials Bachelor Degree in..
... 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..
... 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..
... 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..
Job Information Humana Staff Utilization Management Pharmacist/ Staff RX Clinical Programs /LT (Part Time Contract Position - Pharmacist - Remote, Puerto Rico in San Juan Puerto Rico Description The Staff Utilization ..
Job Information Humana IAM Senior Data Engineer in San Juan Puerto Rico Description The Senior Data Engineer Designs, builds, and maintains data processing architectures and solutions enabling the efficient conversion of ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in San Juan Puerto Rico Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in San Juan Puerto Rico Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews ..
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 ..
... of services provided by other healthcare professionals in compliance with review ... whether services provided by other healthcare professionals are in agreement with ... Delivery Systems, health insurance, other..
... 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..
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 Senior Product Management Professional in San Juan Puerto Rico Description The Senior Product Management Professional must be able to lead, plan and track all phases of the product ..
... 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 ..
... 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..
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 ..
... products and uses customer and business partner feedback to ensure products ... Support strategic initiatives for Medicare business including growth, retention, member experience, ... senior-focused health care or Humana..