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Description The Pharmacy Clinical Advisor Professional 2 is an integral part of the Pharmacy Stars team which is accountable for Humana's Patient Safety and medication related Star measure performance. The..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the..
Job Information Humana Research Consulting Lead in Pittsburgh Pennsylvania Description The Research Consulting Lead performs basic observational and experimental scientific, technological, health economics and outcomes investigation directed toward the acquisition..
Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for..
Job Information Humana Actuary, Risk and Compliance in Pittsburgh Pennsylvania Description This Actuary role is a newly created role within the Senior Products Actuarial Compliance team focused on special Medicare..
Description The Senior Clinical Strategy and Practice Professional builds strategies for development, engagement, best clinical practices and processes for clinical community within the enterprise The Senior Clinical Strategy and Practice..
Job ID 21000IPYAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy..
Job Information Humana Senior Accreditation Professional in Pittsburgh Pennsylvania Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data..
Are you caring, compassionate, and willing to help seniors in our community?? Right At Home is looking to hire a caregiver for 4 daylight shifts & h evening shifts 7..
Are you caring, compassionate, and willing to help seniors in our community?? Right At Home is looking to hire a caregiver for daylight shifts & evening shifts 7 days a..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work..
If you have kids and can't work during the day, or if you're just looking for non-traditional hours, Liken HealthCare Staffing/Liken Home Care is looking for DCW's and CNA's for..