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Results based on filters ( 2148 jobs found )
**Become a part of our caring community**Healthcare Quality Reporting & ...
Details
Summary
About the job:
Improvement (HQRI) delivers integrated risk adjustment (RA) and quality (Stars) solutions that leverage data and technology to empower members, providers, and Humana. Additionally, HQRI leads cross-enterprise EMR interoperability efforts. HQRI Technology & Analytics (HTA) has recently launched a new organization dedicated to technical solutions that help support and connect across these member and provider focused efforts.HTA's new Member & Provider Analytics organization (MPA) is developing a new model of delivery by...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Business Intelligence 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
**Become a part of our caring community**The Workforce Management ...
Details
Summary
About the job:
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 interpretation and independent determination of the appropriate courses of action.The Workforce Management Professional 2 applies and integrates advanced and...
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
**Become a part of our caring community**The Manager, Medicare Call Center ...
Details
Summary
About the job:
oversees daily operations of a Medicare-focused contact center supporting members, providers, and brokers. This role is responsible for team leadership, regulatory compliance (CMS), service level performance, quality outcomes, and continuous process improvement to ensure a high-quality member experience across Medicare Advantage, Medicare Supplement, and/or Part D programs.**Key Responsibilities****Call Center Operations & Leadership**+ Manage day-to-day operations of the Medicare Call Center, including...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
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
**Become a part of our caring community**The Workforce Management ...
Details
Summary
About the job:
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 interpretation and independent determination of the appropriate courses of action.The Workforce Management Professional 2 applies and integrates advanced and...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Management 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
**Become a part of our caring community**Healthcare Quality Reporting & ...
Details
Summary
About the job:
Improvement (HQRI) delivers integrated risk adjustment (RA) and quality (Stars) solutions that leverage data and technology to empower members, providers, and Humana. Additionally, HQRI leads cross-enterprise EMR interoperability efforts. HQRI Technology & Analytics (HTA) has recently launched a new organization dedicated to technical solutions that help support and connect across these member and provider focused efforts.HTA's new Member & Provider Analytics organization (MPA) is developing a new model of delivery by...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Business Intelligence 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
**Become a part of our caring community**The Manager, Medicare Call Center ...
Details
Summary
About the job:
oversees daily operations of a Medicare-focused contact center supporting members, providers, and brokers. This role is responsible for team leadership, regulatory compliance (CMS), service level performance, quality outcomes, and continuous process improvement to ensure a high-quality member experience across Medicare Advantage, Medicare Supplement, and/or Part D programs.**Key Responsibilities****Call Center Operations & Leadership**+ Manage day-to-day operations of the Medicare Call Center, including...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
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
**Become a part of our caring community**The Utilization Management ...
Details
Summary
About the job:
Registered Nurse uses clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit administration determinations. You will report to the Manager of Utilization Management and serve as a member of the One Home/Home Solutions Utilization Management team. This team manages post-acute care services. These services include Skilled Nursing Facility (SNF), Home Health, and Durable Medical Equipment (DME). The team's goal is to ensure members receive the...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
US.jobs
Certifications / Licenses:
Certified Registered Nurse
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
Become a part of our caring community The Senior Community Management ...
Details
Summary
About the job:
Professional will be responsible for directing community engagement practices, facilitating and planning Member and Community Advisory Panels, collaborating with contracted medical and ancillary service providers, Federally Qualified Health Centers, Social Service Agencies, and care managers with the responsibility to link our membership to services and supports critical to the improvement of health outcomes. - Responsible for representation of members' interest, including input in policy development, planning and...
Location:
Northville, MI
Job Type:
Full-Time
Permanent
Occupation:
Community and Social Service Specialists, All Other
Career Level / Education:
Bachelor's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
State of Michigan
Certifications / Licenses:
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
Become a part of our caring community The Community Health Worker 1(CHW 1) ...
Details
Summary
About the job:
serves as a liaison between health and social services and the community, identifying health-related issues, collecting data, and discussing concerns with the people served. The CHW 1 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. They make decisions regarding own work methods, occasionally in ambiguous situations, and require minimal direction and receive guidance where needed. The CHW 1 follows established guidelines/procedures and...
Location:
Rockwood, MI
Job Type:
Full-Time
Permanent
Occupation:
Community Health Workers
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
From:
State of Michigan
Certifications / Licenses:
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
Become a part of our caring community The Senior Community Management ...
Details
Summary
About the job:
Professional will be responsible for directing community engagement practices, facilitating and planning Member and Community Advisory Panels, collaborating with contracted medical and ancillary service providers, Federally Qualified Health Centers, Social Service Agencies, and care managers with the responsibility to link our membership to services and supports critical to the improvement of health outcomes. - Responsible for representation of members' interest, including input in policy development, planning and...
Location:
Plymouth, MI
Job Type:
Full-Time
Permanent
Occupation:
Community and Social Service Specialists, All Other
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
State of Michigan
Certifications / Licenses:
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A

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