- Humana (Oklahoma City, OK)
- …The focus of this role is Medicare Pharmacy and Part D. The Senior Compliance Professional will analyze business requirements, provide research and ... caring community and help us put health first** The Senior Compliance Professional ensures ...Compliance or Health Plan Operations + Familiarity with Medicare pharmacy laws or regulations **Additional Information** Interview Format… more
- CenterWell (Oklahoma City, OK)
- …part of our caring community and help us put health first** The Senior Strategy Advancement Professional provides data-based strategic direction to identify and ... for business segments or the company at large. The Senior Strategy Advancement Professional work assignments involve...will be responsible for supporting the CenterWell ACO and Medicare payment model programs via the Center for … more
- Humana (Oklahoma City, OK)
- …between Humana and its trading partners, Medicare and Medicaid. The Senior Encounter Data Management Professional will work with department leadership, ... caring community and help us put health first** The Senior Encounter Data Management Professional develops business...Medicare . Ensures encounter submissions meet or exceed all compliance standards via analysis of data and develops tools… more
- Humana (Oklahoma City, OK)
- …providing frameworks to maximize available resources to achieve growth. The ** Senior Professional Business Intelligence Engineer** is an experienced individual ... a proven track record of leveraging data to meet compliance requirements and define and drive business value. The... requirements and define and drive business value. The Senior Professional will partner across various multi-disciplinary… more
- Humana (Oklahoma City, OK)
- …adjustment coding and documentation accuracy. The Clinical Support Team is seeking a senior professional who will be accountable for developing and maintaining ... caring community and help us put health first** The Senior Market Consultation/Partnership Professional interprets, analyzes, and...+ Help ensure accurate review of medical records for Medicare and Medicaid Risk Adjustment + Review and respond… more
- Humana (Oklahoma City, OK)
- …part of our caring community and help us put health first** The Senior Strategy Advancement Professional provides data-based strategic direction to identify and ... for business segments or the company at large. The Senior Strategy Advancement Professional work assignments involve...Humana's long term vision to achieve leading growth in Medicare and individual products. The MarketPoint strategy team was… more
- Humana (Oklahoma City, OK)
- …of our caring community and help us put health first** The Senior Installation Administration Professional establishes and manages relationships with internal ... cards issued, claims opened for processing and certifications issued. The Senior Installation Administration Professional work assignments involve moderately… more
- Humana (Oklahoma City, OK)
- …a part of our caring community and help us put health first** The Senior Vendor Management Professional works as liaison between vendors and organization. The ... Senior Vendor Management Professional 's work assignments involve...liaison between vendors, internal business owners, contracting, risk, and compliance teams. As part of the Humana Military Contract… more
- Humana (Oklahoma City, OK)
- …a part of our caring community and help us put health first** The Senior Contract Management Professional evaluates, drafts, and negotiates contracts and other ... of goods and services for Humana, its subsidiaries and affiliates. The Senior Contract Management Professional work assignments involve moderately complex to… more
- Humana (Oklahoma City, OK)
- …a part of our caring community and help us put health first** The Senior Enterprise Data Governance Professional is responsible for implementing, operating, and ... the necessity of data policies, and the impact of compliance in a clear and professional manner....to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Humana (Oklahoma City, OK)
- …a part of our caring community and help us put health first** The Senior Learning Design Professional uses instructional design, cognitive psychology and adult ... knowledge or performance gap, followed by design, development, and delivery. The Senior Learning Design Professional work assignments involve moderately complex… more
- Humana (Oklahoma City, OK)
- …a part of our caring community and help us put health first** The Senior Learning Design Professional uses instructional design, cognitive psychology and adult ... to determine the appropriate solution to a knowledge or performance gap. The Senior Learning Design Professional work assignments involve moderately complex to… more
- Humana (Oklahoma City, OK)
- …a part of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of ... data requires an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis… more
- Humana (Oklahoma City, OK)
- …help us put health first** We are seeking an accomplished and experienced Senior Strategy Advancement Professional to join the Conversational Experience Platform ... business issues and opportunities, including OKR creation and evaluation. The Senior Strategy Advancement Professional will exercise considerable latitude in… more
- Humana (Oklahoma City, OK)
- …consolidating the IT supply base, alongside run-the-business initiatives). The Senior Procurement Professional (Category Manager) generates and implements ... and manages the company's supply portfolio ensuring transparency of spending. The Senior Procurement Professional work assignments involve moderately complex to… more
- Humana (Oklahoma City, OK)
- …and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This team of ... to Humana's Oklahoma Medicaid line of business. As the Senior Fraud and Waste Investigator, you will serve as...and enforcement of the fraud, waste, and abuse (FWA) compliance program to prevent and detect potential FWA activities… more
- Humana (Oklahoma City, OK)
- …Care business, where we empower agents to assist seniors in choosing our senior -focused primary care services. This role sits at the intersection of cutting-edge ... you will have the chance to work directly with Senior Leadership in the Growth Team. Your primary focus...Deployment. + Platform App Builder. + Health Cloud Accredited Professional . + Certified Data Cloud Consultant. + Healthcare Industry… more
- Humana (Oklahoma City, OK)
- …for a Marketing Research Project Manager to join the Market Research team as a Senior Market Research Professional working remote anywhere in the US. The goal of ... through the research + Vendor conducts data analysis and provide initial report _( Senior Market Research Professional works in conjunction with the vendor to… more
- Humana (Oklahoma City, OK)
- …recommendations. + Present complex analytical findings and model outputs to senior leaders and non-technical stakeholders, focusing on clear data storytelling. + ... ensure holistic and informed strategy development. + Maintain a deep understanding of Medicare Part D benefit design and regulatory changes to inform forecasting and… more
- Humana (Oklahoma City, OK)
- …teams in support of Humana's Insurance Business. This position reports to the Senior Vice President, Provider Experience and will lead an organization of 300+ ... development/provider relations function, including proven experience leading contracting for Medicare products. He/she will possess comprehensive knowledge of health… more