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Humana
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Concord, New Hampshire
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Become a part of our caring community and help us put health first
The Clinical Pharmacy ... adequately predict, inform, and forecast the impact of the pharmaceutical pipeline.
The Clinical Pharmacy
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Humana
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Concord, New Hampshire
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seeking exceptional candidates to join our Medicaid Product Strategy Organization in order to support the ... frameworks to maximize available resources to achieve growth
The Medicaid Senior Insurance Product Manager
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Humana
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Concord, New Hampshire
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support to users in navigating Power BI tools. Staying updated with the latest trends and technologies in ... (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits
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Humana
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Concord, New Hampshire
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assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other sources of expertise
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Humana
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Concord, New Hampshire
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assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other sources of expertise
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Humana
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Concord, New Hampshire
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Become a part of our caring community and help us put health first
The Care Manager ... interaction with resources appropriate for the care and wellbeing of members
The Care Manager, Telephonic
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Humana
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Concord, New Hampshire
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clinical policy) as well as enterprise support teams (process, risk, strategy, delegate oversight teams and ... closely with Clinical Risk Management to support enterprise MD speaker readiness for external audits or
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Humana
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Concord, New Hampshire
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can Humana use technological solutions to better support members' behavioral health needs?
What's the best way for Humana to respond when a member has a fall?
What are the clinical benefits of
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Humana
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Concord, New Hampshire
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from payer led clinical services. This role will focus on opportunities to improve member health outcomes, member and provider experience, clinical quality, and savings to medical costs. The Strategy
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Humana
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Concord, New Hampshire
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-on-one clinical support and excellent customer service.About Humana: Humana Inc. (NYSE: HUM) is ... subsidiaries (collectively, 'Humana') offers competitive benefits that support whole-person well-being
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Humana
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Concord, New Hampshire
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national clinical guidelines, CMS policies and determinations, clinical reference materials, internal ... Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios
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Humana
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Concord, New Hampshire
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regulatory compliance, and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and
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Humana
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Concord, New Hampshire
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, which may include national clinical guidelines, CMS policies and determinations, clinical reference ... complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, and
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Humana
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Concord, New Hampshire
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regulatory compliance, and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and
...
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Humana
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Concord, New Hampshire
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national clinical guidelines, CMS policies and determinations, clinical reference materials, internal ... Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios
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Humana
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Concord, New Hampshire
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is seeking a Capture Lead, Clinical & Population Health Strategy, to lead initiatives developing and ... horizontally across the organization, coordinating with Medicaid and Medicare leadership and clinical subject
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Humana
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Concord, New Hampshire
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Become a part of our caring community and help us put health first
Humana's Clinical ... members are living longer, often with more chronic conditions. The Clinical Analytics team identifies
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Humana
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Concord, New Hampshire
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make recommendations to support critical business decisions and optimize outcomes.
Lead design and ... , detail, analytic consistency, and data integrity
Experience in managing data to support and
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Humana
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Concord, New Hampshire
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Maintain collaborative relationships (PE, MRA, Clinical Team , etc.)
Instill focus on Stars/Quality ... influence to drive the next best action
Actively support team engagement performance, well-being
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Humana
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Concord, New Hampshire
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, Group Medicare).
Support HQRI strategic engagements, representing risk adjustment across new member ... mechanics to influence other lines of business.
Foster relationships with providers and clinical
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Humana
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Concord, New Hampshire
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Lead the expansion and support for value-based care and innovation with internal and external providers ... Adjustment, Clinical, and Financial Operations.
Leadership development, including mentoring for
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Humana
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Concord, New Hampshire
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which may include national clinical guidelines, CMS policies and determinations, clinical reference ... seminars on various behavioral health topics to the clinical operations team and healthcare organization
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Humana
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Concord, New Hampshire
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healthcare professionals in compliance with CMS guidelines, clinical coverage criteria, and quality standards. Represents Humana at Administrative Law Judge hearings. Exercises clinical judgment and independent decision
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Humana
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Concord, New Hampshire
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affiliated subsidiaries (collectively, 'Humana') offers competitive benefits that support whole-person well
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Humana
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Concord, New Hampshire
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, and support staff.
Summary of Job Responsibilities:
Collaborate with business leaders, and ... and pay strategies that impact physician, advanced practitioner, and clinical pay trends and practices
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Humana
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Concord, New Hampshire
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System, and Jefferson Health System. Humana takes the lead in providing administrative support in various ... , Practice Transformation, Data Analytics, Post-Acute Care and Clinical Quality, and the opportunity to
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