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Description The Senior Claims Process & Policy Professional processes new insurance policies, modifications to existing policies, and claims forms. The Senior Claims Process & Policy Professional work assignments involve moderately complex ..
Description The Pharmaceutical Manufacturer Relations Executive ensures the Pharmacy trade strategy aligns with formularies and the desired health outcomes of patients. The Pharmaceutical Manufacturer Relations Executive works on problems of diverse ..
Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work assignments ..
Description The Senior Health Information Management Professional work assignments involve moderately complex to complex issues to work with various teams to develop business requirements, track and monitor the success of the ..
Description CarePlus is seeking a Clinical Business Lead who will lead teams of nurses and behavior health professionals responsible for Care Management and Utilization Management. The Clinical Business Lead works on ..
Description The Senior Database Administrator manages and maintains all production and non-production databases. Responsible for standards and design of physical data storage, maintenance, access and security administration. The Senior Database Administrator ..
... 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..
... 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 Acquisition Integration Advisor in Tampa Florida Description The Acquisition Integration Advisor performs project-oriented duties related to the integration of an acquired entity into the company. The Acquisition Integration ..
Job Information Humana Clinical Vendor Management Lead - Remote, FL in Plant City Florida Description The Clinical Vendor Management Lead works as clinical liaison between vendors and organization. The Clinical Vendor ..
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 ..
Description The Senior Professional collaborates with healthcare professionals, pharmacists, and other business functions to implement formulary and medical strategies for the Medicaid line of business. Makes decisions on moderately complex to ..
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 The Senior Database Administrator (Oracle Exadata) manages and maintains all production and non-production databases. Responsible for standards and design of physical data storage, maintenance, access and security administration. The Senior ..
... Responsibilities The Project Manager, Financial Healthcare Advisor manages all aspects of ... to 5 years of technical healthcare experience Exceptional oral and written ... Master's Degree in Business, Finance,..
... 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..
... ensure The Florida Agency for Healthcare Administration benchmarks, goals and deliverables ... reporting and analysis Understanding of healthcare quality measures such as CAHPS, ... acceptable) Advanced degree in business,..
