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1 - 9 of 9 matches in 0.007 seconds
RX Clinical Programs Pharmacy Lead, Medication Adherence (JC149662422)
Last Updated: 2019-10-19
Employer: Humana
Location: Dover, DE

Description

The RX Clinical Programs Lead develops strategies to align and integrate pharmacy and medical interventions with program goals of improving medication adherence and overall health outcomes.

Responsibilities

The Rx Clinical Programs Lead, Medication Adherence assimilates literature, competitive intelligence, program outcomes, and analysis to contribute to the design and testing…

Experience Strategy & Transformation Leader (JC149363953)
Last Updated: 2019-10-19
Employer: Humana
Location: Dover, DE

Description

The Experience Strategy & Transformation Lead enhances the consumer experience by architecting experiences and building capabilities that will positively impact our customers. The Experience Strategy & Transformation Lead works on problems of diverse scope and complexity ranging from moderate to substantial.

Responsibilities

The Experience Strategy & Transformation Leader defines…

Director, Network Engineering (JC149436389)
Last Updated: 2019-10-19
Employer: Humana
Location: Dover, DE

Description

The Director, Network Engineering designs, analyzes, plans and modifies network components supporting customer communication implementation activities. The Director, Network Engineering requires an in-depth understanding of how organization capabilities interrelate across the function or segment.

Responsibilities

+ Design the modernization of aging network architecture and ensure build out of new…

Senior Payment Integrity Professional - WAH in US (JC149436440)
Last Updated: 2019-10-19
Employer: Humana
Location: Dover, DE

Description

Responsibilities

The Senior Payment Integrity Professional contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and…

DRG Inpatient Validation Auditor (JC149169356)
Last Updated: 2019-10-19
Employer: Humana
Location: Dover, DE

Description

The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of…

Team Lead Security Control Guidance and Automation ( remote (JC149364025)
Last Updated: 2019-10-19
Employer: Humana
Location: Dover, DE

Description

The role leads a team of cyber security professionals with specialized skills in security control guidance identifying and applying control requirements and will help driving the control implementation with specific focus on automation. The role will identify and evaluate cyber security control sets and identify and apply control requirements…

Program Management / Analytics Lead (JC149302003)
Last Updated: 2019-10-19
Employer: Humana
Location: Dover, DE

Description

The program management/ analytics lead ensures the performance of all contacts for GBO, manages associate QA programs, owns critical programs from inception to completion and support development of contact center strategy. This role is critical for GBO to be able to maintain the quality of associates who are…

Coding Educator 2 (JC149727891)
Last Updated: 2019-10-19
Employer: Humana
Location: Dover, DE

Description

The Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. The Coding Educator 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

The Coding Educator 2 reviews medical records…

Senior Payment Integrity Professional - WAH in US (JC149436437)
Last Updated: 2019-10-19
Employer: Humana
Location: Wilmington, DE

Description

Responsibilities

The Senior Payment Integrity Professional contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and…

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