- Humana (Washington, DC)
- …Based Services, Medicaid and Medicare integration, D-SNPs, and Self-Directed Services. The Capture Lead , Medicaid Clinical & Population Health ... put health first** Humana Healthy Horizons is seeking a Capture Lead , Clinical & Population...clients and populations served in target growth markets. The Lead , Medicaid Clinical & Population… more
- Humana (Washington, DC)
- …(MA) and Special Needs Plan (SNP) populations that benefit from payer led clinical services. This role will focus on opportunities to improve member health outcomes, ... member and provider experience, clinical quality, and savings to medical costs. The Strategy...quality, cost, and experience for members and providers + Lead cross-functional teams to define discrete opportunities that are… more
- Humana (Washington, DC)
- …works on problems of diverse scope and complexity ranging from moderate to substantial. The Clinical Strategy Practice Lead is a clinical voice for the ... community and help us put health first** * The Clinical Strategy Advancement Advisor builds strategies for clinical...for improvement. Establish, operate, and improve the systems that capture , track, and regularly report on work in flight,… more
- Somatus (Mclean, VA)
- …while working within a specified budget. + Payment Integrity Product Areas- Clinical Claim Review, Payment Analytics, Fraud Capture and Utilization Review ... opportunities + And more! The Senior Vice President of Finance will lead financial activities that support critical operational stakeholders. The key areas of… more