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Description Humana is a Fortune 50 market leader in integrated healthcare delivery As a company whose primary focus is on the well-being of its members Humana is dedicated to shifting..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement...
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor,..
We offer Psychiatrists: Sign-On Bonus! Full-Time or Part-Time W2 positions. Strong Work/Life balance. Out-Patient Practice. No nights, no hospital calls, no weekends. Flexible work schedules, Set your own hours! On-Site..
Job Information Humana Corporate Strategy Consultant in Glen Allen Virginia Description Humana's Corporate Stragtegy team is a high-performing organization that works closely with Humana's senior leaders to help chart the..
Description This is a dynamic role where you will work on some of the latest applications of data science to business. You will directly work with key client stakeholders to..
Job Information Humana Bilingual Quality Auditor in Glen Allen Virginia Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of..
Description The Bilingual Manager, Learning Facilitation , plans, coordinates, and implements all aspects of training programs for participants throughout for Grievance and Appeals / Careplus. EST states Responsibilities The Bilingual..
Job Information Humana Senior Innovation Portfolio Strategy Professional in Glen Allen Virginia Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational..
Description The Director, Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking and forecasting, supports financial sales analysis and market event news. This position will work and collaborate..
Description The Utilization Management Nurse 1 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 1 work..
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..
Job Description Summary: Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we help people..
Description The Data and Reporting Professional II generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts...
Job Information Humana Senior Sales Enablement Product Marketer in Glen Allen Virginia Description Humana's Primary Care Organization (PCO) is looking for an experienced and passionate Product Marketer who is hyper..
Description The Remote Systems Clinical Pharmacist will provide excellent customer service to both internal and external customers by developing and maintaining relationships with Account / Clinical Management and PCO-IPU Operations..
Description The Senior Compensation Professional develops, implements, and administers compensation programs. The Senior Compensation Professional work assignments involve moderately complex to complex issues where the analysis of situations or data..
Description If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the..
Job Description Position is 100% remote in EST zone. Hours: 8am - 5pm EST Holidays: 1 major/1 minor required annually Utilizes clinical experience and skills in a collaborative process to..
Description Humana is a Fortune 60 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of..
We offer Licensed Therapists (LPC, LCSW, LMFT): Sign-On Bonus! Full-Time W2 positions Strong Work/Life balance. Flexible Schedule, Set your own hours! On-Site & Hybrid Positions , offering both In-person &..