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1 - 10 of 14 matches in 0.007 seconds
Part D Medical Director (JC139886912)
Last Updated: 2019-04-21
Employer: Humana
Location: Dover, DE

Description

Title: Part D Medical DirectorLocation: Work from Home in any U.S. StateSchedule: 8:00-5:00 ETWeekend Coverage: Every 8th weekend with a day off the following weekHolidays: We cover holidays on a rotating scheduleThe Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately…

Senior Stars Pharmacy Patient Safety Professional (JC140058239)
Last Updated: 2019-04-21
Employer: Humana
Location: Dover, DE

Description

The Senior Stars Pharmacy Professional develops, implements, and manages oversight of the company’s Part D Medicare Stars Program in collaboration with the Program Lead. Directs Stars quality improvement programs and initiatives. The Senior Stars Professional’s work assignments involve moderately complex to complex issues where the analysis of situations or…

Value-Based Payment Innovation Senior Professional (JC139604715)
Last Updated: 2019-04-21
Employer: Humana
Location: Dover, DE

Description

The Value-Based Payment Innovation Senior Professional supports the creation of innovative value-based programs to maintain Humana’s best-in-class status in today’s competitive value-based landscape.

Responsibilities

In supporting Humana’s Value-Based Strategies organization, the Value-Based Payment Innovation Senior Professional will be responsible for assisting in the development of new innovative VB provider…

Fraud and Waste Investigator, Commercial (JC140195020)
Last Updated: 2019-04-21
Employer: Humana
Location: Dover, DE

Description

The Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 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 Fraud and Waste Professional conducts healthcare…

Data Manager 2 - Digital Analytics & Insights (JC139991587)
Last Updated: 2019-04-21
Employer: Humana
Location: Dover, DE

Description

The Data Manager 2 is part of the Digital Analytics and Insights (DA&I) team at Humana. This team provides reporting and analysis for all of Humana’s digital properties, targeting various audiences that include prospects, members, providers, employers, and agents/brokers. The Data Manager 2 will be responsible for implementation and…

Clinical Program Lead- Quality Network (JC140058231)
Last Updated: 2019-04-21
Employer: Humana
Location: Dover, DE

Description

The Clinical Pharmacy Lead is responsible for providing strategy and programmatic management related to the Humana Quality Network. The Lead also will be responsible for strategic creation of pilots and initiatives designed to test value-based care within pharmacy settings.

Responsibilities

Areas of Responsibility: The Pharmacy Quality Network Program Manager…

UM Coordinator 2 - Work at home - CO, AZ or NM residence pre (JC140121149)
Last Updated: 2019-04-21
Employer: Humana
Location: Dover, DE

Description

The UM Coordinator 2 conducts and summarizes compliance audits. The UM Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.

Responsibilities

The UM Coordinator 2 collects and analyzes data daily, weekly, monthly or as needed to assess outcome and operational…

Senior Fraud & Waste Investigator - WAH in US (JC139813264)
Last Updated: 2019-04-21
Employer: Humana
Location: Dover, DE

Description

The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Senior Fraud and Waste Professional 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 Fraud and Waste…

Infrastructure/Network Security Engineer 2 (virtual home off (JC139570137)
Last Updated: 2019-04-21
Employer: Humana
Location: Dover, DE

Description

The Infrastructure/Network Security Engineer 2 leads and participates in the development of enterprise-level network and infrastructure security strategies. The Infrastructure/Network Security Engineer 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

The Infrastructure/Network Security Engineer 2 ensures infrastructure/network security…

Senior Cloud Engineer (JC139886953)
Last Updated: 2019-04-21
Employer: Humana
Location: Dover, DE

Description

The Senior Cloud Services Engineer enables cloud to provide optimal performance, continuity and efficiency in virtualized, on-demand environments. The Senior Cloud Services Engineer 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…

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