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As a direct report to the Chief Information Security Officer (CISO), the Vice President of Threat Management and Response (TMR) will oversee the programs that gather Threat Intel, perform penetration testing, manage vulnerabilities, monitor & respond to events & incidents, and manage insider threat.
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Areas of focus include Care Management, Quality Improvement, Utilization Management, Population Health, Social Determinants of Health, Pharmacy, Behavioral Health, Institutional Long-Term Services and Supports (LTSS), Home and Community Based Services, Medicaid and Medicare integration, D-SNPs, and Self-Directed Services.
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5+ years of experience in a Medicaid Managed Care Organization (MCO) focusing on Medicaid clinical strategy and population health management strategy. 5+ years of experience in strategy consulting supporting Medicaid managed care clinical strategy and population health management strategy.
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5+ years of experience leading cross-functional teams to design and implement Medicaid clinical or population health management strategies or products. + MBA programs with a specialization in Healthcare Management.
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We deliver value through detailed research, data-driven insights, strategic planning, structured problem solving, and project management rigor. + Project Management and Process Improvement qualifications.
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Medicaid Capture Management. Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Provide content and recommendations to help shape responses to state procurements and clearly articulate Humana clinical product strategy.
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Humana Healthy Horizons is seeking a Capture Lead, Clinical & Population Health Strategy, to lead initiatives developing and executing strategy to successfully position Humana for capture growth opportunities.
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Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion.
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Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
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Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
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Humana Healthy Horizons in Virginia is seeking a Manager, Care Management (Physical Health) who will lead teams of nurses and behavior health professionals responsible for care management.
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Team's purpose is to successfully position Humana to enter new markets enabling the future of the business. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements.
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It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status.
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Three (3) or more years of professional experience in Care Management, specifically in the delivery of care for the physical health needs of members in Medicaid and/or Medicare. + Collects and analyzes performance reports on care management functions to monitor adherence with benchmarks, identify opportunities for process improvement, and develop recommendations to leadership.
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Become a part of our caring community and help us put health first The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations.
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management job Company: Humana in MN, Wyoming
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