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1 - 10 of 85 matches in 0.004 seconds
Grievance and Appeals Representative 3 (JC170629230)
Last Updated: 2020-10-16
Employer: Humana
Location: Chicago, IL

Description

The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further request is warranted and then delivers final determination based on trained skillsets and/or partnerships with clinical and other Humana parties…

Policy Management Professional 2 (JC170629321)
Last Updated: 2020-10-16
Employer: Humana
Location: Chicago, IL

Description

The Enterprise Policy Management Professional 2 contributes to the success of Humana’s business strategy by assisting in the creation, communication and governance of enterprise policies, standards and procedures. Part of the Enterprise Policy Management Professional 2’s role is to gather resources and data in order to provide business areas…

Sr. IT Project Manager - Watson (JC170629354)
Last Updated: 2020-10-16
Employer: Humana
Location: Chicago, IL

Description

The Sr. IT Project Manager position on this team is truly a Program Manager. This leader will have a team of 3-6 Humana Associates and Contractors driving outcomes on the IBM Watson AI platform for our Retail and Group Segments (primarily) but overall for the enterprise.

Responsibilities

This Program…

Strategy Advancement Consultant (JC170629402)
Last Updated: 2020-10-16
Employer: Humana
Location: Chicago, IL

Description

Humana is a Fortune 100 healthcare company with a long history of successful innovation and reinvention. For more than 50 years Humana has been a proven leader and innovator in the health and wellness industry. A passionate emphasis on people, choice, well-being, and innovation guide our business practices and…

IT Project Manager 2 (JC170629471)
Last Updated: 2020-10-16
Employer: Humana
Location: Chicago, IL

Description

The IT Project Manager 2 oversees various system projects and/or programs of a highly complex nature. The IT Project Manager 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

The IT Project Manager 2 assembles and leads project team…

Pharmacy Special Investigations Professional (Fraud, Waste & (JC170629505)
Last Updated: 2020-10-16
Employer: Humana
Location: Chicago, IL

Description

The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

Where you Come In

The Pharmacy Special Investigations Professional is…

Associate Director of IT Category Management (JC170629219)
Last Updated: 2020-10-16
Employer: Humana
Location: Chicago, IL

Description

The Associate Director of IT Category Management will lead the team of Category Managers to drive cost savings via a robust 7-step process, oversee negotiations, implement contracts, and drive successful supplier relationships. This leader is also responsible for ensuring strong alignment with, and becoming a trusted advisor to, key…

Director, Insurance Product Management- Group Medicare (JC170629413)
Last Updated: 2020-10-16
Employer: Humana
Location: Chicago, IL

Description

The Director, Insurance Product Management, manages the Group Medicare product portfolio. The Director, Insurance Product Management, requires an in-depth understanding of how organization capabilities interrelate across the function or segment.

Responsibilities

The Director, Insurance Product Management – Group Medicare, leads design efforts for Group Medicare

+ Works in conjunction…

Director, Insurance Product Management- Part D (JC170629493)
Last Updated: 2020-10-16
Employer: Humana
Location: Chicago, IL

Description

The Director, Insurance Product Management- Part D, leads, plans and tracks all phases of the product life cycle for Part D benefits as part of Humana’s Medicare Advantage Plans and Prescription Drug Plans. The Director, Insurance Product Management, requires an in-depth understanding of how organization capabilities interrelate across the…

Principal Solutions Architect (JC170629526)
Last Updated: 2020-10-16
Employer: Humana
Location: Chicago, IL

Description

The Principal Solutions Architect works with user groups to solve business problems with available technology including hardware, software, databases, and peripherals. The Principal Solutions Architect provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical experience.

Responsibilities

The Principal Solutions Architect translates business needs into…

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