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1 - 10 of 12 matches in 0.003 seconds
Lead Enterprise Architect-Thought Leader (virtual remote hom (JC170761193)
Last Updated: 2020-10-21
Employer: Humana
Location: Dover, DE

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

Grievance and Appeals Representative 3 (JC170629327)
Last Updated: 2020-10-21
Employer: Humana
Location: Dover, DE

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…

Pharmacy Business Optimization Lead (JC170761298)
Last Updated: 2020-10-21
Employer: Humana
Location: Dover, DE

Description

Humana Pharmacy Solutions is seeking a Pharmacy Business Optimization Lead. This individual will work with our various business channels and partners to optimize mail order pharmacy utilization by identifying programs and processes to help members access and maximize their pharmacy benefits. We are seeking a business savvy individual who…

Senior Business Intelligence Engineer - Louisville, KY or Wo (JC170956598)
Last Updated: 2020-10-21
Employer: Humana
Location: Dover, DE

Description

The Senior Business Intelligence Engineer solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Senior Business Intelligence Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable…

Workforce Management Professional 1 (JC170957159)
Last Updated: 2020-10-21
Employer: Humana
Location: Dover, DE

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…

Provider Relations Manager (eBusiness) (JC170761343)
Last Updated: 2020-10-21
Employer: Humana
Location: Dover, DE

Description

Be a part of the eBusiness team, drivers of provider self-service adoption through education and promotion of electronic transactions the Availity secure provider portal, Watson Voice, EDI, etc. As a Provider Relations Manager, you will collaborate cross-functionally with other business partners to improve the provider experience via the…

Principal Digital Product & Strategy Investment (JC170956570)
Last Updated: 2020-10-21
Employer: Humana
Location: Dover, DE

Description

The Principal Digital Product & Strategy Investment guides numerous multi-disciplinary teams of product managers, designers, software and data engineers, and data scientists in virtue of a number of Experience Center (XC) investments, keeping the teams on track and establishing the thought leadership that will guide the learning agenda and…

Director, Insurance Product Management- Part D (JC170629591)
Last Updated: 2020-10-21
Employer: Humana
Location: Dover, DE

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…

Policy Management Professional 2 (JC170629349)
Last Updated: 2020-10-21
Employer: Humana
Location: Dover, DE

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 2 (JC170551098)
Last Updated: 2020-10-21
Employer: Humana
Location: Dover, DE

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…

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