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Description The physician informaticist provide clinical insights and expertise for various analytic projects and coordinates with other analytics, IT and business areas across the organization to ensure work is completed under ..
Description The Mail Operations Pharmacy Technician 2 performs inbound and outbound call functions with patients and providers. The Mail Operations Pharmacy Technician 2 also performs varied activities and moderately complex administrative/operational/customer ..
Description The Mail Operations Pharmacy Technician 2 accurately fills and counts medications. The Mail Operations Pharmacy Technician 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works ..
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 Humana ..
Job Information Humana Physician - CenterWell - Atlanta, GA - College Park in Phoenix Arizona Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Description The Mail Operations Pharmacy Technician 2 Dr. Call Phones Team: Typically works on semi-routine assignments. This is an incoming call center setting. Technicians are responsible for taking incoming phones calls ..
Description The Dr. Call Phones Pharmacy Technician works from home in a call center capacity and provides resolution for prescriptions that are considered incomplete, invalid, or contain clinical issues preventing the ..
Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work ..
Description Bring your unique talents and perspectives to Humana and help us bring better healthcare solutions to our members. At Humana, you'll have the opportunity to interact with members, provide professional ..
Description Imagine putting your career into overdrive, interacting with C-suite executives who mentor and collaborate with you. Imagine learning about and influencing systems that affect population health at a national level. ..
Job ID 21000G78Available 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. ..
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 ..
Job Information Humana Physician - CenterWell - Atlanta, GA - College Park in Tempe Arizona Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a ..
Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides managed Medicaid health insurance. Requires an ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Job ID 21000HUQAvailable 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. ..
Description Our search is focused on identifying a certified coder who will primarily be responsible for conducting prospective and concurrent reviews to identify documentation improvement opportunities according to CMS and ICD-10 ..
Description The Doctor Call Queue Pharmacist will provide outreach and solutions to achieve resolution on prescriptions that are considered incomplete, invalid, or contain clinical issues preventing the fulfillment of the request. ..
