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1 - 8 of 8 matches in 0.005 seconds
Healthy at Risk Product Manager Advisor (JC163521991)
Last Updated: 2020-07-09
Employer: Humana
Location: Portland, ME

Description

As a Clinical Care Product Management Advisor focused on Medicaid and Commercial lines of business, you will be responsible for leading and coordinating the execution of Humana’s product strategies, management, and roadmaps for those lines of business. Working closely with the Clinical Product team, you have accountability of design…

Senior Data & Reporting Professional- WAH Nationwide (JC163661437)
Last Updated: 2020-07-09
Employer: Humana
Location: Portland, ME

Description

The Senior Data and Reporting Professional generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The Senior Data and Reporting Professional work assignments involve moderately complex to complex issues where the analysis of situations or…

Medical Director Work From Home - US (JC163467492)
Last Updated: 2020-07-09
Employer: Humana
Location: Portland, ME

Description

Title: Medical Director Work From Home – USLocation: Work from Home – US The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Pharmacy Risk Management Professional 2- Louisville, KY or W (JC163521983)
Last Updated: 2020-07-09
Employer: Humana
Location: Portland, ME

Description

Use your experience in audit and process improvement to support compliance within the Humana Pharmacy Solutions organization. As a Risk Management Professional 2, you will work with the Risk Operations and Humana Pharmacy Solutions leadership team to implement compliance and risk-focused monitoring and oversight programs with internal and external…

ECOM Data and Reporting Solutions Lead (JC163467444)
Last Updated: 2020-07-09
Employer: Humana
Location: Portland, ME

Description

The ECOM Data and Reporting Solutions Lead delivers new technological solutions to meet business needs within a specified scope while aligned to enterprise objectives. The ECOM Data and Reporting Solutions Lead works on problems of diverse scope and complexity ranging from moderate to substantial.

Responsibilities

The ECOM Data and…

Care Manager, Telephonic Nurse 2 (JC163521867)
Last Updated: 2020-07-09
Employer: Humana
Location: Portland, ME

Description

The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members’ needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Manager, Telephonic Nurse 2 work…

Financial Underwriting Representative 3 (Limited Term Positi (JC163521819)
Last Updated: 2020-07-09
Employer: Humana
Location: Portland, ME

Description

The Financial Underwriting Representative 3 computes rates for both renewing and prospective moderate to complex group accounts. The Financial Underwriting Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills.

Responsibilities

The Financial Underwriting Representative 3 prepares a variety of financial…

Clinical Compliance & Risk Management Senior Professional - (JC163610712)
Last Updated: 2020-07-09
Employer: Humana
Location: Portland, ME

Description

Humana is seeking a seasoned expert in Mental Health Parity (MHPAEA) to join its Clinical Compliance & Risk Management organization. Clinical Compliance & Risk Management serves as the “1st line of defense” for Humana’s Clinical Operations segment, delivering a comprehensive operational risk management program with an eye…

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