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Senior Pharmacy Clinical Advisor

Humana
Located in Ohio
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data-type="string"> Description : **Become a part of our caring community** ...
Details
Summary
About the job:
The Senior Pharmacy Clinical Advisor advises and collaborates with cross functional leaders with goals of combining clinical Rx acumen with holistic desired health outcomes. The Senior Pharmacy Clinical Advisor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Pharmacy Clinical Advisor uses financial and other data driven methods to construct value propositions leading to impactful, longer term...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Health Specialties Teachers, Postsecondary
Career Level / Education:
Doctoral or professional degree
Salary:
Six Figure Jobs (more than $100K)
From:
De jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
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Senior HEDIS Data Manager

Humana
Located in Ohio
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data-type="string"> Description : **Become a part of our caring community** ...
Details
Summary
About the job:
Humana’s Health Quality and Stars organization is seeking a Senior HEDIS Data Manager to deliver quality and value in a fast-paced, dynamic environment to support our Medicare Stars and Medicaid programs through engaging in the transformation of clinical data to inform operational and strategic decision making, collaboration with partners across the enterprise and support of the HEDIS program and related activities. This will require building and maintaining strong relationships with corporate and market teams,...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Data Scientists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
De jobs
Certifications / Licenses:
National Committee for Quality Assurance
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Pharmacy Clinical Advisor

Humana
Saint Paul, MN
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**Become a part of our caring community**The Senior Pharmacy Clinical ...
Details
Summary
About the job:
Advisor advises and collaborates with cross functional leaders with goals of combining clinical Rx acumen with holistic desired health outcomes. The Senior Pharmacy Clinical Advisor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.The Senior Pharmacy Clinical Advisor uses financial and other data driven methods to construct value propositions leading to impactful, longer term decisions. Translates information from...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Pharmacists
Career Level / Education:
Doctoral or professional degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Compliance Professional

Humana
Saint Paul, MN
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**Become a part of our caring community**The Senior Compliance Professional ...
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Summary
About the job:
ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.The Senior Compliance Professional is responsible for timely reporting of accurate and complete (quality) data or other filings in response to required external agency mandates. Additional responsibilities includes coordination with Regulatory Compliance for government regulator...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Compliance Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior HEDIS Data Manager

Humana
Saint Paul, MN
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**Become a part of our caring community**Humana's Health Quality and Stars ...
Details
Summary
About the job:
organization is seeking a Senior HEDIS Data Manager to deliver quality and value in a fast-paced, dynamic environment to support our Medicare Stars and Medicaid programs through engaging in the transformation of clinical data to inform operational and strategic decision making, collaboration with partners across the enterprise and support of the HEDIS program and related activities. This will require building and maintaining strong relationships with corporate and market teams, including IT, Quality Operations and...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Business Continuity Planners
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
National Committee for Quality Assurance
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Oncology Clinical Pharmacist

Humana
Saint Paul, MN
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**Become a part of our caring community**The Clinical Drug Evaluation and ...
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Summary
About the job:
Policy Strategies Senior Clinical Pharmacist monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or implement strategies and programs to mitigate cost trend and improve health outcomes. The Clinical Formulary Strategy Pharmacist work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Pharmacists
Career Level / Education:
Doctoral or professional degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
Project Management Professional
Board Certified
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Associate, AJO Builder

Humana
Saint Paul, MN
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**Become a part of our caring community**Become a part of our caring ...
Details
Summary
About the job:
community and help us put health firstAs a Senior Asso ciate, Builder AXP, you will play a hands-on role in translating strategy into real-time journeys using Adobe Experience Platform (AEP) and Adobe Journey Optimizer (AJO). This role can be performed remotely from anywhere in the U.S. You will lead all phases of the product lifecycle-from ideation to launch-by developing and optimizing Next Best Action (NBA) journeys that meet member needs and deliver measurable business outcomes. Post-launch, you will monitor performance,...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Market Research Analysts and Marketing Specialists
Career Level / Education:
Bachelor's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
US.jobs
Certifications / Licenses:
Adobe Qualified - Adobe Experience Platform
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Correspondence Representative

Humana
Saint Paul, MN
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**Become a part of our caring community**The Correspondence Representative 2 ...
Details
Summary
About the job:
performs research, analysis, documentation, and interpretation for the provider reimbursement programs for an organization that provides health insurance. Updates, maintains, and reviews fee scheduling and pricing structures. Ensure contracted rates and reimbursement policies are priced and applied accurately. You will report to the Supervisor, Claims Research & Resolution.As the Correspondence Representative 2 you will+ Make reimbursement policy and process recommendations and ensure compliance with government...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Correspondence Clerks
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Lead, MarTech Capabilities - Next Best Action Engine

Humana
Saint Paul, MN
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**Become a part of our caring community**We are looking for a strategic ...
Details
Summary
About the job:
Marketing Technology Lead to guide the evolution of our Next Best Action (NBA) capabilities through scalable use of Adobe Journey Optimization (AJO) and dynamic content frameworks. You will sit at the intersection of marketing, data, and technology, ensuring personalized, context-aware customer engagement across channels.You will combine expertise in Adobe Experience Cloud with an understanding of decisioning, orchestration, and content personalization to deliver scalable and measurable customer journeys.**Key...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Blockchain Engineers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
Adobe Qualified - Adobe Experience Platform
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Value-Based Programs Lead (Data and Analytics)

Humana
Saint Paul, MN
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**Become a part of our caring community**The Value-Based Programs Lead (Data ...
Details
Summary
About the job:
and Analytics) supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Value-Based Programs Lead provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical experience.The Value-Based Programs Lead (Data and Analytics) works with senior executives to develop and drive segment or enterprise-wide functional strategies. Advises one or more areas, programs or functions and provides...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Database Architects
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
Cadastral Mapping Specialist
National Committee for Quality Assurance
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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