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Senior Strategy Advancement Professional

Humana
Saint Paul, MN
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**Become a part of our caring community**Humana's distribution organization, ...
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Summary
About the job:
MarketPoint, plays an important part in driving Humana's long-term vision to achieve leading growth in Medicare and individual products. We created the MarketPoint strategy team to help transform Humana's customer acquisition approach. The team functions with a mandate to think creatively, discover new opportunities and re-envision operations to drive growth and deliver first-class experience to our members and agents. As part of the Strategy Advancement team, you will provide strategic and tactical support to...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
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
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Director of Risk Adjustment & Quality Record Retrieval

Humana
Columbus, OH
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**Become a part of our caring community**The Director of Risk Adjustment& ...
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Summary
About the job:
Quality Record Retrieval is responsible for leading front-line record retrieval operations that support several top strategic priorities for Humana. These high-profile priorities include Risk Adjustment's Chart Review program, Risk Adjustment internal and external audits (e.g., CMS Risk Adjustment Data Validation RADV audits), quality initiatives such as HEDIS, and other projects as needed. The Director works collaboratively across the enterprise to ensure retrieval processes and outcomes are optimized and effectively...
Location:
Columbus, OH
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
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Detailed Job Information

Value-Based Programs Lead (Medicaid)

Humana
Columbus, OH
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**Become a part of our caring community**Humana Healthy Horizons is looking ...
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Summary
About the job:
for a Value-Based Programs Lead who will support successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. You will lead the beginning-to-end operational support of specialty Medicaid value-based payment (VBP) models in alignment with segment strategy and goals. The Value-Based Programs Lead will be a subject matter expert in VBP and have advanced technical knowledge and experience.+ Develop new innovative VBP models for range of provider types,...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
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 Strategy Advancement Professional

Humana
Columbus, OH
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**Become a part of our caring community**Humana's distribution organization, ...
Details
Summary
About the job:
MarketPoint, plays an important part in driving Humana's long-term vision to achieve leading growth in Medicare and individual products. We created the MarketPoint strategy team to help transform Humana's customer acquisition approach. The team functions with a mandate to think creatively, discover new opportunities and re-envision operations to drive growth and deliver first-class experience to our members and agents. As part of the Strategy Advancement team, you will provide strategic and tactical support to...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
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 Pharmacy Clinical Advisor

Humana
Columbus, OH
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**Become a part of our caring community**The Senior Pharmacy Clinical ...
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Summary
About the job:
Advisor advises and collaborates with cross functional leaders with goals of combining clinical pharmacy 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 will be a part of a collaborative Pharmacy Stars team which is accountable for Humana's Stars patient safety measure performance. The Senior Pharmacy...
Location:
Columbus, OH
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

Informatics Lead

Humana
Columbus, OH
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**Become a part of our caring community**The Informatics Lead solves complex ...
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Summary
About the job:
business problems using data from internal and external sources to provide insight to decision-makers. You will work with analytics, IT, and departments across the organization to improve CenterWell programs and assets by analyzing the customer journey. You will work on problems of diverse scope and complexity ranging from moderate to substantial. You will report to the Director of Informatics.The CenterWell Experience team supports the corporate initiative of enhancing the customer and associate experience across...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
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

CenterWell Process Improvement Lead

Humana
Columbus, OH
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**Become a part of our caring community**As a Process Improvement Engineer ...
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Summary
About the job:
at CenterWell, you will lead initiatives to optimize operational efficiency, elevate the patient experience, and drive measurable cost savings across CenterWell. You will analyze complex workflows, design continuous improvement strategies, and develop robust measurement frameworks to track performance. The ideal candidate blends industrial engineering principles with a deep understanding of healthcare operations.The Process Improvement Lead researches best business practices within and outside the organization to...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:

Six Sigma Black Belt - LEAN
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Business Intelligence Lead - Encounter Submissions

Humana
Columbus, OH
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**Become a part of our caring community**The Business Intelligence Lead ...
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Summary
About the job:
solves complex business problems and issues using data from internal and external sources and leveraging knowledge to provide insight to decision-makers. The Business Intelligence Lead works on problems of diverse scope and complexity within the encounter submissions team that impacts teams across IT teams and operational teams across Humana's many business segments.The Business Intelligence Lead Encounter Submissions is able to describes the tools, technologies, applications and practices used to collect, integrate,...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
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

Lead Marketing Campaign Management

Humana
Columbus, OH
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**Become a part of our caring community**Job Profile SummaryThe Marketing ...
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Summary
About the job:
Lead will lead and implement direct response marketing campaigns focusing on creative strategy, development and production of direct mail marketing to increase sales and awareness for the organization's products and/or services.Job DescriptionThe Lead, Marketing Campaign Management contributes to the operational execution of lead generation direct mail and email marketing. These campaigns primarily support our suite of Medicare products, aimed at prospective and current members. This Lead is responsible for overseeing...
Location:
Columbus, OH
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:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

FINANCE PROFESSIONAL

Humana
Columbus, OH
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**Become a part of our caring community**The Financial Planning and Analysis ...
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Summary
About the job:
Professional analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions in support of Claims Administration and Payment Integrity (CAPI).The Financial Planning and Analysis Professional collects, compiles, verifies, and analyzes financial information so that senior management has accurate and timely information for making strategic and operational decisions for optimal staffing and inventory management practices. Develops and maintains...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Financial and Investment Analysts
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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