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Humana
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Raleigh, North Carolina
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calendar year beginning 1/1/2025.
The Senior Vendor Management Professional builds and maintains ... equivalent experience
3+ years of demonstrated vendor management experience
Familiar with
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Humana
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Raleigh, North Carolina
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prioritization process, caring for vendor management, change management and training across the organization and ... customer needs and to achieve specific cost and success outcomes.
Owns the vendor management strategy
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Humana
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Raleigh, North Carolina
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in Virginia is seeking a Manager, Care Management (LTSS-ABD) who will lead a team of nurses and ... care management operations and staff to ensure timely and culturally competent delivery of care
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Humana
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Raleigh, North Carolina
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creating strategy and/or operations experience
Past experience working in a utilization management ... authorization and claims review, UM vendor management, analytics / reporting)
Knowledge of utilization and
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Humana
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Raleigh, North Carolina
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Director of Technology Solutions. We are on a mission to revolutionize our Customer Relationship Management ... strategy and execution of IT initiatives that are vital to our business operations. Your deep understanding
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Humana
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Raleigh, North Carolina
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, Operations Management, Healthcare Administration, or related field. Eight (8) plus years business experience ... , business process analysis and re-engineering, change management and measurement, and/or process-driven
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Humana
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Raleigh, North Carolina
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in Virginia is seeking a Manager, Care Management (Physical Health) who will lead teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within
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Humana
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Raleigh, North Carolina
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serves.
The Medicaid Capture Management team's purpose is to successfully position Humana to ... -driven insights, strategic planning, structured problem solving, and project management rigor.
We are
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Humana
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Raleigh, North Carolina
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Become a part of our caring community and help us put health first
The Manager, Career ... to resources, approach, and tactical operations for projects and initiatives involving own
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Humana
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Raleigh, North Carolina
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Operations.
The Data & Analytics team is seeking a Manager, Business Intelligence to solve complex ... Operations Enablement (EOE) - CPSS Data & Analytics - BI (Business Intelligence) team is a high performing
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Humana
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Raleigh, North Carolina
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visionary Product Manager to lead our Product Security and DevSecOps initiatives. In this critical role, you ... is Eligible for EIP Avenues Program
The Lead, IT Product Management works with relevant Humana
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Humana
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Raleigh, North Carolina
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Become a part of our caring community and help us put health first
The Project Manager 2 ... . The Project Manager 2 work assignments are varied and frequently require interpretation and
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Humana
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Raleigh, North Carolina
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data auditing for compliance
Data management for reporting
**Use your skills to make an impact ... operations experience
Working knowledge of Microsoft Office applications including Excel (pivot tables
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Humana
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Raleigh, North Carolina
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Suite
Program or project management experience including small to large scale projects
Strong ... consumers.
Preferred Qualifications
Possess a solid understanding of operations, technology in
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Humana
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Raleigh, North Carolina
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frameworks to maximize available resources to achieve growth
The Medicaid Senior Insurance Product Manager ... Medicaid Senior Insurance Product Manager plays a critical role in developing and managing Medicaid and
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Humana
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Raleigh, North Carolina
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work directly with senior management, including the Segment President, Senior Leaders, and SVPs, to ... management.
Use your skills to make an impact
Required Qualifications:
5+ years of finance
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Humana
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Raleigh, North Carolina
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Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health ... possible participation in care management, with clinical scenarios arising from outpatient or inpatient
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Humana
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Raleigh, North Carolina
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Management Clinical Pharmacist 2 (VSP/PT) is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The Utilization Management
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Humana
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Raleigh, North Carolina
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defend the results of the analysis.
-strong technical skills
time management and organization
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Humana
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Raleigh, North Carolina
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Utilization Management operating model. The Advisor must exercise independent judgment and decision-making on ... Clinical - Utilization Management (UM) domain**
Serve as the primary point of contact (POC) to discuss
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Humana
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Raleigh, North Carolina
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translate requirements between business, project management and technical projects or programs
Highly
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Humana
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Raleigh, North Carolina
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Become a part of our caring community and help us put health first
The Actuarial Analyst 1, A
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Humana
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Raleigh, North Carolina
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Become a part of our caring community and help us put health first
The Lead Product Manager - Provider Directory helps identify, validate, and implement improvements to the Humana provider directory
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Humana
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Raleigh, North Carolina
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communication skills (written and verbal)
Strong planning and time management skills
Proficiency using
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Humana
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Raleigh, North Carolina
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management, including planning, campaign messaging (VAT, live agent, email, direct mail, digital touchpoints ... excellent time management skills
Excellent communications skills, written and verbal, able to
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Humana
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Raleigh, North Carolina
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Become a part of our caring community and help us put health first
The Data and Reporting Pro
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Humana
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Raleigh, North Carolina
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first?
The Care Management Registered Nurse, RN, Intern will utilize Humana's training and ... Manager, Registered Nurse, RN, Intern will utilize Humana's Medicaid training and engage formerly acquired
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Humana
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Raleigh, North Carolina
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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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Raleigh, North Carolina
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/or other specific healthcare areas such as EMR, Episode grouper, utilization management, value-based
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Humana
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Raleigh, North Carolina
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Product Management and Wellness Strategy** will have the ability to navigate a regulatory intensive ... design, or healthcare advisory services
3+ years of management experience or management consulting
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