PBM, 8th largest dispensing pharmacy, owns a major stake in the nation's largest home health care and hospice operator (Kindred at Home), and is quickly growing a portfolio of owned and joint venture senior-focused primary care assets, including Partners in Primary Care, Conviva, and JenCare.
5 years of experience in health plans. Bachelors: Business Administration. 2 years of experience overseeing HEDIS/STARS Production for a health plan. Coding experience. Strong project management skills.
SAIC is seeking a Military Health Analyst to provide staff support. to Action Officers/Chairs of MHS Clinical Communities, work groups, and a. variety of military healthcare projects for the Defense Health Agency (DHA). This. is a junior to mid-level position. . This is a REMOTE position.
. The clinical concept analyst will work with a team to perform data mining services to identify opportunity of claims overpayments. . The clinical concept analyst will be responsible for interpreting claims data, analyzing and building claim payment policy, and building the clinical content.
Active RN license. Must reside in an eNLC state with multi-state licensure. Ability to be licensed as a registered nurse in multiple states without restrictions. 5+ years or more in an acute care setting. Comprehensive knowledge of Microsoft Office applications.
Work at Home. Description. As a Clinical Care Product Management Advisor focused on Medicaid and Commercial lines of business, you will be responsible for leading and coordinating the execution of Humana's product strategies, management, and roadmaps for those lines of business.
Senior Data Scientist. Description. The Senior Data Scientist uses mathematics, statistics, modeling, business analysis, and technology to transform high volumes of complex data into advanced analytic solutions.
Support the identification of customer winning requirements. Track and monitor competitor activity and provide competitor updates. Required Skills:
1 to 5 years of experience in product management. Knowledge of HEDIS specifications.
. The Senior Data and Reporting Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. .
. The Data and Reporting Lead works on problems of diverse scope and complexity ranging from moderate to substantial. .
Responsibilities. The Data and Reporting Lead integrates data from multiple sources to produce requested or required data elements.