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Description The Clinical Pharmacy Advisor lead, overseeing Humana Pharmacy and Medical Trend, is a dynamic role within Humana. We are seeking a positive and proactive individual to contribute to a high ..
Description The Senior Clinical Pharmacy Advisor - Trend, is a dynamic role within Humana. We are seeking a positive and proactive individual to contribute to a high performing team that helps ..
Description Humana has articulated a long-term vision to transform from a health insurance company to a health services company distinguished by the prioritization of the health outcomes and care experiences of ..
Description The Senior Pharmacy Clinical Advisor requires a broad understanding of pharmacy, managed care, PBM, market and regulatory insights to develop, and/or implement formulary strategies to mitigate cost trend and improve ..
Description The Strategy Advancement Advisor provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence and strategic planning support for business segments or the company at ..
Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Bethesda Maryland Description The Senior Pharmacy Clinical Advisor will be part of an interactive team with broad exposure and scope ..
What You Will Do: Under limited supervision, the Director, Care Management is accountable and responsible for the 24/7 management, leadership, coordination, productivity, and operation of system-wide care management services including, but ..
Description The Senior Pharmacy Clinical Advisor is an integral part of the Pharmacy Stars team which is accountable for Humana's medication related Star measure performance. The Senior Pharmacy Clinical Advisor develops ..
Description The RN Case Management Process Advisor also known as a Case Management Liaison (CML) will oversee the processing of referrals from Military Treatment Facilities (MTFs) and civilian providers. The RN ..
What You Will Do: Utilization Reviewer Rotating Shift Capital Regional Medical Center General Summary Under general supervision, provides utilization review and denials management for an assigned patient case load. This role ..
Job Information Humana Acquisition Integration Advisor in Bethesda Maryland Description The Acquisition Integration Advisor performs project-oriented duties related to the integration of an acquired entity into the company. The Acquisition Integration ..
Description The Behavioral Health Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer Group product implementation, operations, contract compliance, and federal contract application submissions. The ..
Details Department: Case Management Schedule: PRN Available shift: day shift and evening shift to include weekends depending on your availability • Option A - provide a minimum of four available days ..
Job Information Humana Strategy Advisor, Healthcare Strategy in Bethesda Maryland Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence ..
Job Information Humana Market Development Advisor - Behavioral Health/Medicaid in Bethesda Maryland Description The Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicaid product implementation, ..
Details Department: Critical Care Float Pool Schedule: Full-time, 36 hours per week. Day Shift 7a-7p. Weekend/Holiday Rotation. Hospital: Ascension Saint Agnes Location: Baltimore, MD Benefits Paid time off (PTO)Various health insurance ..
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 Pharmacy ..
Job ID 21000MRBAvailable 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 requirements. ..
Go the extra mile. Patients and Physicians rely on our diagnostic testing, information and services to help them make better healthcare decisions. These are often serious decisions with far reaching consequences, ..
Job Information Humana Market Development Advisor - Medicaid Provider Service Operations in Bethesda Maryland Description The Market Development Advisor - Medicaid Provider Service Operations provides support to assigned health plan and/or ..
Details Rate: $80/hr Department: Neuro/Stroke Schedule: Short-term (8 or 12-week assignment). Full-time, 36 hours per week. Night Shift 7p-7a. Every other weekend. Holidays as needed. Hospital: Ascension Saint Agnes Location: Baltimore, ..