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Clinical Reviewer - Irvine','26573-142198','United States-California-Santa Ana-Santa ... States-California-Santa Ana-Santa Ana (SAN) - RCPS','Full-time','Executive','!*!CLINICAL REVIEW SPECIALIST JOB DESCRIPTION MAJOR ... format and deadlinesPerforms Medi Cal clinical medical file review of hospital..
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... /u003eUnder direct supervision of the Clinical Director/Administrator, this entry-level licensed management ... two (2) years of direct clinical serviceu003cbr /u003eu0026bull; Experience providing intensive ... the team; ensures coordination of..
... and providers. The Director, Pharmacy Clinical Formulary and Medical Strategies requires ... specialty to develop and/or implement clinical strategies to mitigate cost while ... strategies. Responsibilities The Director, Pharmacy..
... 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..
... supervision of the Administrator, the Clinical Director provides leadership, coordination and ... Director provides leadership, coordination and clinical supervision to multidisciplinary team(s) and/or ... the Administrator, acts as the..
Description The Clinical Recruiter recruits and interviews prospective employees for hourly and salaried positions for our Care Delivery Organization. Humana is seeking a recruiter who is a self-starter, able to work ..
... Health Services for National Medicaid Clinical Operations utilizes clinical skills to support the coordination, ... to grow, the National Medicaid Clinical Operations team is expanding our ... services organization..
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..
... Director of Product Management for Clinical Pharmacy Products develops and evaluates ... Director of Product Management for Clinical Pharmacy Products, you will be ... development of strategic, high-performing transformational..
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..
... 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 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 Pharmacy Advisor - Trend, is ... team that helps translate the clinical into financial. The goals is ... Responsibilities include the following: Provide clinical and analytical..
Description The Clinical Data and Reporting Professional 2 ... regular datasets and reporting for clinical leadership decision making. The Clinical Data and Reporting Professional 2 ... courses of action. Responsibilities..
... 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..
Job Information Humana Clinical Analytics and Trend Program Manager ... in Torrance California Description The Clinical Strategy and Practice Lead builds ... strategies for development, engagement, best clinical practices and..
... 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..
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 The Senior Quality Assurance, Clinical Professional requires being both a ... critical review judgment to make clinical determinations Knowledge of inpatient and ... Must demonstrate working knowledge of clinical..
... pmu0026nbsp;u003c/spanu003eu003c/pu003enu003cpu003eu003cstrongu003eDays:u003cspanu003eu0026nbsp;u003c/spanu003eu003c/strongu003eu003cspanu003eu0026nbsp;Monday - Fridayu003c/spanu003eu003c/pu003enu003cpu003eu003cstrongu003ePOSITION SUMMARYu003c/strongu003eu003cbr /u003eThe Clinical Secretary provides support services to ... provides support services to the Clinical Services Department. A focus of ... Records, types, distributes and maintains..
... supervision of the Administrator, the Clinical Director provides leadership, coordination, and ... Director provides leadership, coordination, and clinical supervision to multidisciplinary team(s) and/or ... u003c/spanu003eu003c/spanu003eu003c/spanu003eu003cspanu003eTwo (2) years post-graduate direct..
Description The Clinical Pharmacy Advisor lead, overseeing Humana ... team that helps translate the clinical into financial. The goals is ... key metrics and trend. Support clinical research integration activities..
