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1 - 10 of 14 matches in 0.065 seconds
Senior Provider Contracting Professional (JC170426970)
Last Updated: 2020-10-21
Employer: Humana
Location: Portland, ME

Description

The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of…

Grievance and Appeals Representative 3 (JC170629513)
Last Updated: 2020-10-21
Employer: Humana
Location: Portland, ME

Description

The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further request is warranted and then delivers final determination based on trained skillsets and/or partnerships with clinical and other Humana parties…

Senior Cloud Architect- (Virtual Remote Home Office) (JC170426849)
Last Updated: 2020-10-21
Employer: Humana
Location: Portland, ME

Description

The Senior Cloud Architect leads the planning, design, and engineering of enterprise-level infrastructure and platforms related to cloud computing. The Senior Cloud Architect work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Responsibilities

The Senior Cloud…

Workforce Management Professional 2 (JC170551244)
Last Updated: 2020-10-21
Employer: Humana
Location: Portland, ME

Description

The Workforce Management Professional 2 applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, talent management, diversity and human resource compliance). The Workforce Management Professional 2 work assignments are varied and frequently require…

Director, Insurance Product Management- Group Medicare (JC170629373)
Last Updated: 2020-10-21
Employer: Humana
Location: Portland, ME

Description

The Director, Insurance Product Management, manages the Group Medicare product portfolio. The Director, Insurance Product Management, requires an in-depth understanding of how organization capabilities interrelate across the function or segment.

Responsibilities

The Director, Insurance Product Management – Group Medicare, leads design efforts for Group Medicare

+ Works in conjunction…

Policy Management Professional 2 (JC170629208)
Last Updated: 2020-10-21
Employer: Humana
Location: Portland, ME

Description

The Enterprise Policy Management Professional 2 contributes to the success of Humana’s business strategy by assisting in the creation, communication and governance of enterprise policies, standards and procedures. Part of the Enterprise Policy Management Professional 2’s role is to gather resources and data in order to provide business areas…

Workforce Management Professional 1 (JC170957314)
Last Updated: 2020-10-21
Employer: Humana
Location: Portland, ME

Description

The Workforce Management Professional 1 applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, talent management, diversity and human resource compliance). The Workforce Management Professional 1 work assignments are often straightforward and of…

Lead Enterprise Architect-Thought Leader (virtual remote hom (JC170761365)
Last Updated: 2020-10-21
Employer: Humana
Location: Portland, ME

Description

The Lead Enterprise Architect translates business needs into systems solutions and architectural roadmaps. The Lead Enterprise Architect works on problems of diverse scope and complexity ranging from moderate to substantial and provides guidance to functional team(s). Skilled with broad, advanced technical experience especially in relation to enabling Platforms.

Responsibilities

Provider Contracting Executive (JC170427072)
Last Updated: 2020-10-21
Employer: Humana
Location: Portland, ME

Description

The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to substantial.

Responsibilities

The Provider Contracting Executive communicates contract terms, payment…

Director, Insurance Product Management- Part D (JC170629237)
Last Updated: 2020-10-21
Employer: Humana
Location: Portland, ME

Description

The Director, Insurance Product Management- Part D, leads, plans and tracks all phases of the product life cycle for Part D benefits as part of Humana’s Medicare Advantage Plans and Prescription Drug Plans. The Director, Insurance Product Management, requires an in-depth understanding of how organization capabilities interrelate across the…

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