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Humana
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Oklahoma City, Oklahoma
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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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Oklahoma City, Oklahoma
...
partner with stakeholders across the enterprise to identify, prioritize and measure the impact of core and ... clinical conditions and disease states, such as hypertension, diabetes, kidney care, behavioral health and
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Humana
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Oklahoma City, Oklahoma
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President, Clinical Ops Cost of Care Strategy.
Responsibilities Include:
Partner with analytical ... , 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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Oklahoma City, Oklahoma
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efforts that drive Transformation and Change initiatives.
Responsibilities:
Partner with ... (may include time studies, AHT, sales performance, quality, etc..)
Partner with broader Strategy
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Humana
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Oklahoma City, Oklahoma
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ranging from moderate to substantial.
The Organization Effectiveness Lead
Partner with Go to ...
Partner with internal and external teams to ensure proficiency in and effectiveness of Sales Enablement
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Humana
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Oklahoma City, Oklahoma
...
and staff on WFM system features, functions, associated processes, policy and procedures.
Partner ... -service hospice and palliative care Pharmacy Benefits Manager, offering compassionate and cost-effective
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Humana
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Oklahoma City, Oklahoma
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, partners, and others as necessary.
Serve as a thought partner to the MarketPoint leaders by displaying ... their best health – delivering the care and service they need, when they need it. These efforts are
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Humana
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Oklahoma City, Oklahoma
...
company’s total revenue and earnings. Team members partner with the senior leaders of the business unit ... management field
Prior healthcare industry experience, preferably in the managed care or provider sector
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Humana
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Oklahoma City, Oklahoma
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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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Oklahoma City, Oklahoma
...
all impacted business areas.
Key Role Functions
Partner with associates in other business ... their best health – delivering the care and service they need, when they need it. These efforts are
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Humana
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Oklahoma City, Oklahoma
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courses of action. This position will partner closely with the Sr. Quality Improvement Professional(s) on ... data gathering required for strategy development and care gap closure. Follows established guidelines
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Humana
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Oklahoma City, Oklahoma
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, profitability studies, new payor partner proposals, board level analyses, and various other strategic projects ... .
Partner with DH&A team to evaluate claims data to drive deeper insights into the business and identify
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Humana
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Oklahoma City, Oklahoma
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provides a non-traditional Medicare Advantage opportunity outside of bid season. They will partner closely ... the millions of people we serve to achieve their best health – delivering the care and service they
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Humana
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Oklahoma City, Oklahoma
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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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Oklahoma City, Oklahoma
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, Endpoint Detection and Response, Identity Access and Management Solutions.
· Ability to partner within ... the millions of people we serve to achieve their best health – delivering the care and service they
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Humana
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Oklahoma City, Oklahoma
...
the millions of people we serve to achieve their best health – delivering the care and service they
...
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Humana
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Oklahoma City, Oklahoma
...
government leaders.
Responsibilities include:
Partner with Humana Healthy Horizons to ... leaders (Medicare, Medicaid and specialty insurance, pharmacy, primary care and home health) as well as
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Humana
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Oklahoma City, Oklahoma
...
being involved in bid season. They will partner closely with Utilization Management (UM) leadership to ... the millions of people we serve to achieve their best health – delivering the care and service they
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Humana
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Oklahoma City, Oklahoma
...
people we serve to achieve their best health – delivering the care and service they need, when they need
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Humana
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Oklahoma City, Oklahoma
...
their best health – delivering the care and service they need, when they need it. These efforts are
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Humana
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Oklahoma City, Oklahoma
...
quantitative field
Healthcare or managed care experience
Experience building large-scale predictive ... cost of care and trend analysis
Actuarial background or experience
**Additional Information
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Humana
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Oklahoma City, Oklahoma
...
people we serve to achieve their best health – delivering the care and service they need, when they need
...
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Humana
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Oklahoma City, Oklahoma
...
their best health – delivering the care and service they need, when they need it. These efforts are
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Humana
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Oklahoma City, Oklahoma
...
of assignment
5+ years of direct clinical patient care experience post residency or fellowship ... inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age
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Humana
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Oklahoma City, Oklahoma
...
people we serve to achieve their best health – delivering the care and service they need, when they need
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Humana
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Oklahoma City, Oklahoma
...
quantitative field
Healthcare or managed care experience
Experience in Natural Language Processing ... , Azure or AWS
Experience in deep learning and recommendation
Experience in cost of care and
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Humana
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Oklahoma City, Oklahoma
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care for Oklahoma Medicaid enrollees. The Senior Quality Compliance Professional has proven data ... close gaps in care. More specifically, the role will be focusing on increasing EPSDT screening
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Humana
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Oklahoma City, Oklahoma
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services, level of care, and/or site of service should be authorized. All work occurs within a context of ... **
Required Qualifications
MD or DO degree
5+ years of direct clinical patient care experience
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Humana
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Oklahoma City, Oklahoma
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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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Oklahoma City, Oklahoma
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the millions of people we serve to achieve their best health – delivering the care and service they
...
