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Humana
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Springfield, Illinois
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Become a part of our caring community and help us put health first
The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve
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Humana
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Springfield, Illinois
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, depending on size of region or line of business. The Medical Director conducts Utilization Management of the ... Become a part of our caring community and help us put health first
The Medical Director
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Humana
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Springfield, Illinois
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talented and experienced leader to join our growing Home Health Data Engineering team. In this role, you will be responsible for providing strategic direction, technical leadership, and day-to-day management
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Humana
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Springfield, Illinois
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Become a part of our caring community and help us put health first
The Medical Director ... Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios
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Humana
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Springfield, Illinois
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Organization is seeking an Associate Director, Sales Enablement Technology to join the Retail Marketing team ... experience.
As the Associate Director, Sales Enablement Technology, you will plan, recommend, implement
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Humana
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Springfield, Illinois
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our team. As an Associate Director, Partner Channel Inside Sales, you will support Humana's production ... candidates with multilingual skill sets to service our consumers.
The Associate Director, Partner Channel
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Humana
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Springfield, Illinois
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, depending on size of region or line of business. The Medical Director conducts Utilization Management of the ... Become a part of our caring community and help us put health first
The Medical Director
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Humana
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Springfield, Illinois
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Director conducts Utilization Management of the care received by members in an assigned market, member ... Become a part of our caring community and help us put health first
The Medical Director
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Humana
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Springfield, Illinois
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Become a part of our caring community and help us put health first
The Associate VP ... . The Associate VP, Technology Solutions requires a in-depth understanding of how organization
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Humana
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Springfield, Illinois
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reviews utilization management activities and documentation to ensure adherence to policies, procedures ... courses of action. The role analyzes report data daily, weekly, monthly, and as needed to assess and
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Humana
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Springfield, Illinois
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situations or data requires an in-depth evaluation of variable factors.
The Senior Claims Risk Management ... Management Professional identifies and analyzes potential sources of loss to minimize risk. The Senior Risk
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Humana
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Chicago, Illinois
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Management team works with analysts and leaders in Finance, Actuarial, Data Science, and other modeling ... Become a part of our caring community and help us put health first
The Risk Management Lead
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Humana
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Springfield, Illinois
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payment processing and budget management.
2+ years' experience with data file monitoring and error ... quality (Stars) solutions that leverage data and technology to empower members, providers, and Humana
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Humana
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Springfield, Illinois
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medical management systems. The associate understands department, segment, and organizational strategy and ... position with responsibility for utilization management and clinical decision-making as outlined in the
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Humana
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Springfield, Illinois
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Microsoft Certified: Azure Data Scientist Associate
_Microsoft Certified: Azure AI Engineer Associate ... , data discovery, rapid prototyping, model lifecycle management, model deployment, and solution and data
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Humana
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Springfield, Illinois
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Medical Director may develop procedures, processes, productivity targets, and new delivery models ... performed without direction.
The Behavioral Health Medical Director actively uses their medical
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Humana
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Springfield, Illinois
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outside the organization to establish benchmark data. Collects and analyzes process data to initiate ... re-engineering, change management and measurement, and/or process-driven systems requirements
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Humana
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Springfield, Illinois
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depth knowledge of data encryption and encryption key management protocols
Enterprise Security ...
Humana Data and Digital (D&D) stands at the vanguard of innovation, relentlessly driving the development
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Humana
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Springfield, Illinois
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prospective programs and other strategic initiatives to inform the overall revenue forecast. Claims data as well as data from CMS are utilized to project revenue generated from specific programs.
**Role
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Humana
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Springfield, Illinois
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) solutions
Technical experience must include use of NoSQL databases, microservices, service mesh, data modeling, data architecture (document, relational and graph), API Management Platforms, high-availability
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Humana
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Springfield, Illinois
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, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses
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Humana
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Springfield, Illinois
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architecting information management technology solutions inclusive of modern data / cloud technologies and ... .
Experience with:
Enterprise data pipeline management and integration technologies and platforms
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Humana
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Springfield, Illinois
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opportunities, supplying both quantitative and qualitative data, with intense focus on the associate and member ... Lead solves complex business problems and issues using data from internal and external sources to
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Humana
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Springfield, Illinois
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's largest businesses.
Humana is seeking a team member with prior management consulting experience to ... 's executive Management Team, and corporate, functional, and business unit leaders.
Recent example projects
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Humana
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Springfield, Illinois
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.
Humana is seeking an experienced team member with meaningful management consulting experience to support ... team members, subject matter experts, members of Humana's executive Management Team, and corporate
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Humana
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Chicago, Illinois
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Compiling and implementing application development plans for new or existing data integration and data ... identify the data integration sources, patterns and define end-to-end architecture.
Creating and
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Humana
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Springfield, Illinois
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provider data management experience
2+ years of process creation or improvement experience
Some ... Optimization Professional oversees various efforts involving highly complex data analysis and consultation
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Humana
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Springfield, Illinois
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where the analysis of situations or data requires an in-depth evaluation of variable factors to ... environments. Further develops configuration management playbooks to bootstrap applications onto deployed
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Humana
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Springfield, Illinois
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management plan against the member's personal goals.
Ensures the patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member
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Humana
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Springfield, Illinois
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collects, analyzes and reports on various market data to connect financial outcomes with operational ... Provider Engagement internally
Leverages data analytics, business insights, cross-functional
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