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... monitors trends in incidents and system issues and helps drive technical ... technology platforms / applications, performs system analysis and translates into system requirements. The work assignments are .....
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 ..
Description The Senior Provider Engagement, Clinical Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the ..
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 ..
Job Information Humana Medical Director - Texas in Honolulu Hawaii Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to ..
... partnerships and manages relationships between IT and the aligned business group(s). ... business partners on information technology (IT) solutions, stays current on and ... trends, and challenges business and..
Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - Remote, US in Honolulu Hawaii Description Humana Healthy Horizons is seeking a Senior Quality Program Delivery Professional who will manage and ..
Job Information Humana Medical Director - National Medicare Team in Honolulu Hawaii Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments ..
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 Senior Clinical Recruiter in Honolulu Hawaii Description The Senior Clinical Recruiter recruits qualified applicants for staff nurse or other positions requiring registered nurse licensure, licensed practical nurse, or ..
... such as software development, engineering, IT, and a wide variety of ... challenges and make educated trade-offs IT product manager, initially for a ... level leadership Leads cross-functional team,..
Remote Outpatient Coder Nationwide Are you searching for exciting Remote Outpatient Coder career opportunities? We are looking for experienced Remote Outpatient Coders to join our dynamic team. Interested in learning more? ..
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 ..
... 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..
... Informatics coordinates with other analytics, IT and business areas across the ... Informatics coordinates with other analytics, IT and business areas across the ... Public Health Administration, Public Policy,..
Job Information Humana Medical Director - Florida Medicaid in Honolulu Hawaii Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
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 Senior Provider Installation Professional (Service Fund) (Remote) in Honolulu Hawaii Description Humana's Service Fund organization is looking for Senior Provider Installation Professional to join the team working from ..
Job Information Humana Data Manager / ETL Developer - Primary Care Organization in Honolulu Hawaii Description The Data Manager 2 supports all aspects of configuration control, data management, and deficiency reporting. ..
... streams and understand how critical it is to work in an ... such as software development, engineering, IT, and a wide variety of ... enhancements of existing value chains/streams..
Job Information Humana UM Medical Director - Conviva in Honolulu Hawaii Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
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 ..
... Nashville, Tennessee NEW! NEW! Information Analyst Medical Imaging Banner Health Sun ... hr shifts Duke University Health System Raleigh, North Carolina Pediatric Sleep ... Health Therapist St. Luke's Health..