Healthcare Test Lead Jobs in Hawaii

Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..

Description Come join the Digital Health & Analytics (DH&A) team within Humana to build a world class Data Science and Insights enterprise capability leveraging digital-first platforms, analytics, and agile development methodologies. ..

Job Information Humana FP&A Lead - Primary Care Finance in ... The Financial Planning & Analysis Lead is responsible for the budgeting, ... The Financial Planning & Analysis Lead collects,..

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 ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..

... Humana Humana at Home Partnerships Lead- WAH Nationwide in Honolulu Hawaii ... Hawaii Description The Clinical Business Lead builds and influences strategies for ... Clinical Programs. The Clinical Business..

Job Information Humana Clinical Pharmacy Lead, Remote in Honolulu Hawaii Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and ..

... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..

Job Information Humana Lead - Technology Solutions Encounters in ... challenge and change Responsibilities The Lead, Technology Solutions Encounters builds strategic ... the aligned business group(s). The Lead manages our..

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 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 ..

Job Information Humana Product Manager Lead, Pharmacy Transformative Products Team, Remote ... Humana Pharmacy's growth. The OTC Lead will be responsible for developing ... 60 market leader in integrated healthcare..

Job Information Humana Senior Corporate Strategy Analyst in Honolulu Hawaii Description Humana's Corporate Stragtegy team is a high-performing organization that works closely with Humana's senior leaders to help chart the course ..

... of services provided by other healthcare professionals in compliance with review ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..

Job Information Humana Healthcare Services Senior Learning Design Professional-Remote in Honolulu Hawaii Description The Senior Learning Design Professional uses instructional design, cognitive psychology and adult learning theory to determine the appropriate ..

Description Account Management Lead defines the account management strategy for Humana Pharmacy's commercial accounts. The Account Management Lead works on problems of diverse scope and complexity ranging from moderate to substantial, ..

Description The Accounting Lead performs general accounting activities, including ... of accounting projects. The Accounting Lead works on problems of diverse ... to substantial. Responsibilities The Accounting Lead prepares, records,..

Job Information Humana FP&A Lead, Medicaid Market in Honolulu Hawaii ... The Financial Planning & Analysis Lead is acritical leadership role with ... The Financial Planning & Analysis Lead works..

Description The Lead Cloud Architect leads the planning, ... related to cloud computing. The Lead Cloud Architect works on problems ... from moderate to substantial. The lead Cloud Architect will..

Job Information Humana Lead Database Administrator, Open Systems - ... in Honolulu Hawaii Description The Lead Database Administrator manages and maintains ... access and security administration. The Lead, Database Administrator..

Job Information Humana Corporate Strategy Consultant in Honolulu Hawaii Description Humana's Corporate Stragtegy team is a high-performing organization that works closely with Humana's senior leaders to help chart the course for ..

Job Information Humana Medicaid Encounters Lead (Medicaid) - Remote, US in ... Hawaii Description The Medicaid Encounters Lead is responsible for monitoring and ... Operations teams, the Medicaid Encounters Lead..