Humana Program Management Lead

Job Overview: Humana seeks an experienced professional to lead our data management efforts and optimize business processes. As a Data Management Lead, you will develop and implement strategies to ensure successful submission and reconciliation of encounter submissions to Medicaid/Medicare.About the Role: We are looking for a skilled professional with...

Humana Value-Based Programs Lead in Santa Fe, New MexicoBecome a part of our caring community and help us put health first The Value-Based Programs Lead supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals.The Value-Based Programs Lead provides strategic advice and guidance...

Humana Value-Based Programs Lead in Santa Fe, New MexicoBecome a part of our caring community and help us put health firstThe Value-Based Programs Lead supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Value-Based Programs Lead provides strategic advice and guidance...

**Job Summary:**We are seeking an experienced Data Management Business Process Lead to join our team at Humana. In this role, you will be responsible for developing business processes to ensure successful submission and reconciliation of encounter submissions to Medicaid/Medicare.Main Responsibilities:Analyze data to ensure compliance with all relevant...

Operations Excellence SpecialistIn this role, you will be responsible for leading the transition of value-based programs from development to operational maturity. You will develop and implement scalable processes to support market and vendor engagement, engage with internal and external stakeholders to understand program performance, and manage program...

About the Job:We are seeking an experienced Compliance and Accreditation Lead to join our team at Humana. As a key member of our organization, you will be responsible for leading the accreditation process and ensuring compliance with relevant standards.Main Responsibilities:Lead the management of accreditation teams to ensure timely completion of...

Job DescriptionWe are seeking a skilled Program Manager to join our team at Highmark Health. The ideal candidate will have experience in managing complex projects and a deep understanding of health plan operations and economics.Key Responsibilities:Lead project managers and work group leaders in the development and maintenance of comprehensive plans for...

Humana Medical Director--Claims Management in Santa Fe, New MexicoBecome a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized at the...

Humana Director, Product Management- eCommerce in Santa Fe, New MexicoBecome a part of our caring community and help us put health firstHumana is a leading health and well-being company focused on helping our patients, members, and customers achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. At Humana, we...

Humana Medical Director--Claims Management in Santa Fe, New MexicoBecome a part of our caring community and help us put health firstThe Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized at the...

Humana Director, Product Management- eCommerce in Santa Fe, New MexicoBecome a part of our caring community and help us put health first Humana is a leading health and well-being company focused on helping our patients, members, and customers achieve their best health by delivering personalized, simplified, whole-person healthcare experiences.At Humana, we...

Job Title: Operations Management LeadJob Summary:We are seeking an experienced Operations Management Lead to join our team at Heru Human Resource Specialist Co. Inc.Key Responsibilities:Oversee and manage the daily operations of the manpower service provider.Ensure efficient and effective service delivery to clients.Maintain high standards of service quality...

Humana Market Entry Capture Strategy Lead in Santa Fe, New MexicoBecome a part of our caring community and help us put health firstThe Market Entry Capture Strategy Lead will lead initiatives to develop and execute strategy to successfully position Humana to capture growth opportunities. This role will work horizontally across the organization, coordinating...

Humana Market Entry Capture Strategy Lead in Santa Fe, New MexicoBecome a part of our caring community and help us put health first The Market Entry Capture Strategy Lead will lead initiatives to develop and execute strategy to successfully position Humana to capture growth opportunities.This role will work horizontally across the organization, coordinating...

Humana Lead Research Scientist in Santa Fe, New MexicoBecome a part of our caring community and help us put health first Humana's Clinical Analytics Team is seeking a Lead Research Scientist (Remote).Healthcare is rapidly changing, and our members are living longer, often with more chronic conditions.The Clinical Analytics team identifies opportunities and...

About the PositionThe Humana Market Entry Capture Strategy Lead will play a critical role in developing and executing a strategy to successfully position Humana to capture growth opportunities in the Medicaid market. This role will work closely with Medicaid leadership and operational subject matter experts to synthesize, assess, and translate state...

Job SummaryThe Humana Health Plans Market Entry Strategist will lead initiatives to develop and execute a strategy to successfully position Humana to capture growth opportunities in the Medicaid market. This role will work closely with Medicaid leadership and operational subject matter experts to synthesize, assess, and translate state requirements into...

Humana Lead Research Scientist in Santa Fe, New MexicoBecome a part of our caring community and help us put health firstHumana's Clinical Analytics Team is seeking a Lead Research Scientist (Remote).Healthcare is rapidly changing, and our members are living longer, often with more chronic conditions. The Clinical Analytics team identifies opportunities and...

Location field must contain 'city, state' or a zip code to perform a radius search (e.g., Denver, CO or 46122 ).City and state must be separated by a comma followed by a space (e.g., Houston, TX )Humana Medicaid Provider Materials Lead in Santa Fe, New MexicoBecome a part of our caring community and help us put health first Humana Healthy Horizons is seeking...

Location field must contain 'city, state' or a zip code to perform a radius search (e.g., Denver, CO or 46122 ). City and state must be separated by a comma followed by a space (e.g., Houston, TX )Humana Medicaid Provider Materials Lead in Santa Fe, New MexicoBecome a part of our caring community and help us put health firstHumana Healthy Horizons is seeking...