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Description As Lead Actuary of the Risk Predictive Models team, you have an opportunity to both learn more about predictive analytics and machine learning and to see it become very real ..
... satisfaction and actively participates in process improvement activities that enhance the likelihood ... RELATED: Participates in the recruitment process for new clinical staff. Assists ... the practice of Continuous..
u003cpu003eu003cstrongu003eRole Summary:u003c/strongu003eu003c/pu003enu003cpu003eThis role oversees the development of new business sales and fulfillment of sales goals for individual Medicare Supplemental products through telephone, in-person contact, and other appropriate avenues. There is no ..
... Humana members to make informed healthcare decisions. Our key goal is ... members obtain high quality affordable healthcare while keeping our provider networks ... applicable Identifies opportunities to implement..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Job Information Humana Quality Improvement Coordinator in Milwaukee Wisconsin Description ... Milwaukee Wisconsin Description The Quality Improvement Coordinator 3 assists in administering ... in administering and monitoring quality improvement and..
... who will lead teams of healthcare professionals responsible for care management. ... to quality initiatives. Ensure team process and performance compliant with all ... program is continuously striving for..
Job ID 21000KYCAvailable Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..
Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..
Description Humana/iCare is seeking a Long Term Care Functional Screener to join the growing Milwaukee County team in the Family Care Partnership (FCP) program. The Functional Screener is responsible for completing ..
Job ID 21000MB4Available Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..
... who will lead teams of healthcare professionals responsible for care management ... to quality initiatives. Ensure team process and performance compliant with all ... program is continuously striving for..
... specialty consultants. Initiate care management process including pre-registration and insurance verification. ... admitting physicians during the reservation/scheduling process. Review medical reports from referring ... for legal, medical, statistical, and..
Job ID 21000K7BAvailable Openings 2PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
Job ID 21000K7GAvailable Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..
Description iCare is seeking a Long Term Care Functional Screener that is responsible for completing the LTCFS (Long Term Care Functional Screens) for iCare's Family Care Partnership members, as required and ..
Job Information Humana Director, Population Health Strategy in Waukesha Wisconsin Description The Director, Population Health Strategy is responsible for improving the quality of care and outcomes while managing costs for a ..
Job ID 21000JVGAvailable Openings 2Position Specific Information $1500 Sign-on bonus No experience necessary PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance ..