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Description The Overutilization Review and Monitoring Staff Clinical Pharmacist is a clinical pharmacist that works in Humana's Drug Management Program. This individual conducts case management on at-risk beneficiaries and potential at-risk ..
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Description The RX Clinical Programs Lead is an integral ... Star measure performance. The RX Clinical Programs Lead develops strategies to ... of new initiatives. The Rx Clinical Programs Lead..
Description The Behavioral Health Clinical Advisor (Care Manager, Telephonic Behavior ... Demonstration). Responsibilities The Behavioral Health Clinical Advisor (Care Manager, Telephonic Behavior ... (EFMP). Auditing for quality and clinical compliance,..
Description The Pharmacy Clinical Advisor Professional 2 is an ... Star measure performance. The Pharmacy Clinical Advisor Professional 2 is responsible ... business and financial support of clinical programs focused..
Description The Medicaid Clinical Strategy Lead delivers new clinical technological solutions to meet Medicaid ... to enterprise objectives. The Medicaid Clinical Strategy Lead works on problems ... to substantial. Responsibilities..
... at home anywhere Humana's Enterprise Clinical Management (ECM) team needs your ... healthcare challenges of today. The Clinical Analytics and Trend team uses ... uses advanced analytic techniques, and..
... Quality Medical Director will manage clinical vendor quality outcomes for Humana ... vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full ... time Medical Director to manage..
... to grow, the National Medicaid Clinical Operations team is expanding our ... services organization to enhance the clinical delivery process. The Associate Director, ... and services to support 24/7..
Job Information Humana Clinical Recruiter 2 - VSP in Anchorage Alaska Description The Clinical Recruiter 2 interviews prospective employees for hourly and salaried positions. Assists with Pharmacy recruiting from entry level ..
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 assignments ..
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 requires ..
... resources, which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, ... of moderately complex to complex..
Description Humana's Claims Cost Management (CCM) organization is seeking a Manager, Fraud & Waste to join the Provider Payment Integrity-Clinical Audit team working remote anywhere in the US. As the Fraud ..
... team that helps translate the clinical into financial to ensure Humana ... optimization and specialty drug focused clinical programs. As specialty drugs continue ... the development and execution of..
Description The Intern - General 2 performs duties in field of study or profession. The Intern - General 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ..
Job Information Humana Clinical Analytics and Trend Program Manager ... in Anchorage Alaska Description The Clinical Strategy and Practice Lead builds ... strategies for development, engagement, best clinical practices and..
... are interested in using their clinical and analytical skills to help ... the healthcare industry. As a clinical informaticist at Humana you will ... departments. Responsibilities Apply understanding of..
... and across the Company. The Clinical Business Process Improvement Consultant defines ... Services and/or Home Operations. The Clinical Business Process Improvement Professional will ... and Home Operations segment. This..
Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. ..
Description The Senior Provider Engagement, Clinical Professional develops and grows positive, ... plan. The Senior Provider Engagement, Clinical Professional work assignments involve moderately ... Responsibilities The Senior Provider Engagement, Clinical..
Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to ... healthcare challenges of today. The Clinical Analytics and Trend team uses ... techniques, data analysis,..
Description The Senior Clinical Business Professional manages all aspects ... and within budget. The Senior Clinical Business Professional work assignments involve ... variable factors. Responsibilities The Senior Clinical Business Professional..
