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Humana
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Albany, New York
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business markets such as Louisville, KY.
Key Role Functions
Partner with the External ... achieve departmental goals and support execution of communications activities
Partner with External
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Humana
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Albany, New York
...
partner with stakeholders across the enterprise to identify, prioritize and measure the impact of core and ... , kidney care, behavioral health and/or other chronic conditions
Deep understanding of healthcare
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Humana
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Albany, New York
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President, Clinical Ops Cost of Care Strategy.
Responsibilities Include:
Partner with ... , Cost of Care Strategy will play an important role within Clinical Operations at Humana to define
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Humana
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Albany, New York
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efforts that drive Transformation and Change initiatives.
Responsibilities:
Partner ... improve operations (may include time studies, AHT, sales performance, quality, etc..)
Partner with
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Humana
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Albany, New York
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ranging from moderate to substantial.
The Organization Effectiveness Lead
Partner with ... “just in time” approach
Partner with internal and external teams to ensure proficiency in and
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Humana
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Albany, New York
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procedures.
Partner closely with Real-Time and Reporting Analysts; providing back-up support when needed ... care Pharmacy Benefits Manager, offering compassionate and cost-effective services to our most
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Humana
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Albany, New York
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, partners, and others as necessary.
Serve as a thought partner to the MarketPoint leaders by displaying ... millions of people we serve to achieve their best health – delivering the care and service they need, when
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Humana
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Albany, New York
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of the company’s total revenue and earnings. Team members partner with the senior leaders of the ... care or provider sector
Reporting Relationships
The role reports to a Director within
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Humana
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Albany, New York
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Adjustment. Represents the health plan externally to partner providers and builds provider relationships ... closely partner, build strong relationships and work effectively with corporate leadership teams and
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Humana
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Albany, New York
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key relationships with all impacted business areas.
Key Role Functions
Partner ... it easier for the millions of people we serve to achieve their best health – delivering the care and
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Humana
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Albany, New York
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outcomes and cost-effective care for our members. We are seeking a Clinical Investigation Lead to provide strategic direction to drive appropriate care, with the aim of reducing waste and overuse of healthcare
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Humana
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Albany, New York
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, including budgets, profitability studies, new payor partner proposals, board level analyses, and various ... financial insights to leadership.
Partner with DH&A team to evaluate claims data to drive deeper
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Humana
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Albany, New York
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of health and care services to the customer across their journey through the ecosystem. Integrated ... Star Architecture
Partner with multiple development areas to advance modernization and cloud
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Humana
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Albany, New York
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partner closely with Financial leadership to develop new forecast models for this area’s home health and ... it easier for the millions of people we serve to achieve their best health – delivering the care and
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Humana
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Albany, New York
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Access and Management Solutions.
· Ability to partner within and across teams to gain consensus ... it easier for the millions of people we serve to achieve their best health – delivering the care and
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Humana
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Albany, New York
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the care and service they need, when they need it. These efforts are leading to a better quality of
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Humana
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Albany, New York
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Advantage without being involved in bid season. They will partner closely with Utilization Management (UM ... millions of people we serve to achieve their best health – delivering the care and service they need, when
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Humana
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Albany, New York
...
it easier for the millions of people we serve to achieve their best health – delivering the care and
...
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Humana
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Albany, New York
...
millions of people we serve to achieve their best health – delivering the care and service they need, when
...
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Humana
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Albany, New York
...
millions of people we serve to achieve their best health – delivering the care and service they need, when
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Humana
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Albany, New York
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required, for various states in region of assignment
5+ years of direct clinical patient care ... and/or related to care of a Medicare type population (disabled or >65 years of age)
Internal
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Humana
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Albany, New York
...
/or related quantitative field
Healthcare or managed care experience
Experience building ... PySpark
Experience in cost of care and trend analysis
Actuarial background or experience
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Humana
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Albany, New York
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millions of people we serve to achieve their best health – delivering the care and service they need, when
...
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Humana
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Albany, New York
...
it easier for the millions of people we serve to achieve their best health – delivering the care and
...
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Humana
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Albany, New York
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or Statistics and/or related quantitative field
Healthcare or managed care experience ... recommendation
Experience in cost of care and trend analysis
Actuarial background or experience
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Humana
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Albany, New York
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services, level of care, and/or site of service should be authorized. All work occurs within a context of ... **
MD or DO degree
5+ years of direct clinical patient care experience post residency or fellowship
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Humana
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Albany, New York
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growth markets.
**Candidates will possess Medicaid managed care operations expertise and have ... Care Management, Quality Improvement, Utilization Management, Population Health, Social Determinants of
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Humana
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Albany, New York
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it easier for the millions of people we serve to achieve their best health – delivering the care and
...
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Humana
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Albany, New York
...
the care and service they need, when they need it. These efforts are leading to a better quality of
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Humana
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Albany, New York
...
millions of people we serve to achieve their best health – delivering the care and service they need, when
...