• Director , Actuarial of Medicaid

    Humana (Salt Lake City, UT)
    …a part of our caring community and help us put health first** The Director , Actuarial of Medicaid Pricing provides actuarial support across a broad range ... understanding of how organization capabilities interrelate across the function or segment. The Director , Actuarial of Medicaid Pricing may be responsible for any… more
    Humana (08/15/24)
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  • Behavioral Health Medical Director

    Humana (Salt Lake City, UT)
    …community and help us put health first** The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral ... Health Medical Director work assignments involve moderately complex to complex issues...internal teaching conferences, and other reference sources * Learns Medicaid requirements and understands how to operationalize this knowledge… more
    Humana (09/20/24)
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  • Associate Director , Agile Coaching…

    Humana (Salt Lake City, UT)
    …a part of our caring community and help us put health first** The Associate Director , Agile Coaching guides, educates, and mentors organizational leaders and ... and practices including Scrum, Kanban and Scaled Agile Framework (SAFe). The Associate Director , Agile Coaching requires a solid understanding of how… more
    Humana (09/26/24)
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  • Associate Director , Data Science

    Humana (Salt Lake City, UT)
    …a part of our caring community and help us put health first** The Associate Director , Data Science uses mathematics, statistics, modeling, business analysis, and ... to transform high volumes of complex data into advanced analytic solutions. The Associate Director , Data Science requires a solid understanding of how… more
    Humana (10/08/24)
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  • Associate Director of Digital…

    Humana (Salt Lake City, UT)
    **Become a part of our caring community and help us put health first** Associate Director of Digital Experience Solutions (DES) Architecture In support of our ... goals, and to enable effectiveness and efficiency of technology decisions. The Associate Director of Digital Experience Solutions (DES) Architecture is a… more
    Humana (09/26/24)
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  • Associate Director , Enterprise API…

    Humana (Salt Lake City, UT)
    **Become a part of our caring community and help us put health first** Associate Director , Enterprise API Standards and Governance is a pivotal role in leading ... be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet… more
    Humana (08/28/24)
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  • Medical Director - Florida

    Humana (Salt Lake City, UT)
    …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (10/04/24)
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  • Medical Director - Acute Inpatient…

    Humana (Salt Lake City, UT)
    …**Additional Information** Typically reports to a Lead, may also report to a Regional/ Associate Vice President or Corporate Medical Director , depending on size ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
    Humana (08/27/24)
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  • Medical Director - South Central

    Humana (Salt Lake City, UT)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
    Humana (09/27/24)
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  • Medical Director - Mid West Region

    Humana (Salt Lake City, UT)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records, synthesizing complex… more
    Humana (08/27/24)
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  • Medicare Grievances and Appeals Corporate Medical…

    Humana (Salt Lake City, UT)
    …our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The ... Corporate Medical Director works on problems of diverse scope and complexity...+ Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products + Must be passionate… more
    Humana (10/08/24)
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  • Director , Technology Solutions

    Humana (Salt Lake City, UT)
    …Best Places to Work, and be a part of our dynamic team as the Director of Technology Solutions. We are on a mission to revolutionize our Customer Relationship ... your chance to make a substantial impact! As the Director of Technology Solutions, you will spearhead the strategy...Effectively lead a high-performing team of associates consisting of Associate Directors, Lead Architects, Tech Leads, and more. +… more
    Humana (09/19/24)
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  • Director Cybersecurity Engineering(Metrics…

    Humana (Salt Lake City, UT)
    …a part of our caring community and help us put health first** Director of Enterprise Information Protection (EIP) Cybersecurity Engineering focused on building a ... AI techniques **Preferred Qualifications:** * Microsoft Certified: Azure Data Engineer Associate * Microsoft Certified: Azure AI Fundamental * Microsoft Certified:… more
    Humana (08/29/24)
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  • Coding Educator - East Division

    Conviva (Salt Lake City, UT)
    …Excellence team under the CenterWell Primary Care Organization. This role reports to Associate Director of coding education and has a dotted line reporting ... divisional clinical educators. Clinical Coding Educator identifies opportunities to improve provider documentation and creates an education plan tailored to each… more
    Conviva (09/19/24)
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  • Manager, Internal Audit

    Humana (Salt Lake City, UT)
    …Clinical and Enterprise Compliance area, working closely with the Internal Audit Director , Clinical and Enterprise Compliance. The right individual will execute on ... + Proactively inform management of significant risks or exposures, and provide development feedback and coaching recommendations and improvements + Development and… more
    Humana (10/04/24)
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