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Description The Process Improvement Professional 2 analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Professional 2 work assignments ..
... objectives. Required Qualifications Experience in healthcare or in a managed care ... and motivation Prior experience with healthcare fraud investigation Experience with Microsoft ... systems management or related field..
... Qualifications 3 plus years of healthcare fraud investigation experience 2 plus ... knowledge and experience Experience in healthcare or in a managed care ... experience in compliance or auditing..
Description Humana's Primary Care Organization is a leading provider of primary care for seniors, caring for >250k patients across 9 states under CenterWell and Conviva. We are rapidly expanding our value-based ..
... in the fast-paced industry of healthcare, we offer our associates career ... impact on the future of healthcare, Humana has the right opportunity ... Qualifications Bachelor's degree in Business,..
... 5 or more years of healthcare revenue cycle management experience may ... with Auditing and monitoring of healthcare records 3 years experience with ... large data sets Knowledge of..
Description Responsibilities This role within the Autism Care Demonstration (ACD) Team, will work closely with Care Management leaders and Subject Matter Experts in the areas of Case Management, Utilization Management and ..
... Humana members to make informed healthcare decisions. Our key goal is ... members obtain high quality affordable healthcare while keeping our provider networks ... process improvements across various functions..
Job Information Humana Oncology Market Director in Atlanta Georgia Description The Market Director, Oncology leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' prescriptions to Humana ..
... MBA Clinical process improvement experience Lean / Six Sigma Green and/or Black Belt certification ... in the fast-paced industry of healthcare, we offer our associates careers ... impact on..
... 3 years of experience managing Healthcare Quality programs OR 8 years ... their home. We are a healthcare company committed to putting health ... Preferred Qualifications Certified Professional in..
Description CarePlus is seeking a Nursing Educator 2 who will plan, direct, coordinate, evaluate, develop, and/or deliver training and education programs for professional nursing personnel. The Nursing Educator 2 work assignments ..
... The Senior Professional collaborates with healthcare professionals, pharmacists, and other business ... The Senior Professional collaborates with healthcare professionals, pharmacists, and other business ... finance and/or business-related pharmacy practice..
Description The Associate Director, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, ..
Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and proactive individual to contribute to a high performing team that ..
Description The Staff Clinical Pharmacist is an integral part of the Clinical Drug Policy Management team which ensures synchronization of formulary utilization management policies across multiple systems. Humana is seeking a ..
Description The Clinical Pharmacy Lead for Pharmacy trend will be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and proactive individual ..
... Humana members to make informed healthcare decisions. Our key goal is ... members obtain high quality, affordable healthcare while keeping our provider networks ... process improvements across various functions..
