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Description Healthcare isn't just about health anymore. ... of our patients, and the healthcare industry as a whole. As ... a whole. As a senior-focused healthcare provider, and subsidiary of..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
... Certified Diabetes Care and Education Specialist-Remote-US in Metairie Louisiana Description The ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... Certified Diabetes Care and Education..
Job Information Humana Care Management Supervisor (Prescription Assistance Program)- CenterWell-Remote in Metairie Louisiana Description The Supervisor, Care Management leads teams of health professionals responsible for assessing and evaluating patient's needs and ..
... the nation's leading provider of healthcare services HCA Healthcare. At Tulane Medical Center, we ... Stock Purchase Program (ESPP) Great healthcare starts with compassion. Our teams ... resources and..
... whether services provided by other healthcare professionals are in agreement with ... whether services provided by other healthcare professionals are in agreement with ... Delivery Systems, health insurance, other..
Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Metairie Louisiana Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..
Job Information Humana Medicare Appeals and Grievance Medical Director in Metairie Louisiana Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..
... looking for an experienced Senior Healthcare Investigator to join its industry ... enforcement authorities. Assembles evidence and documentation to support successful adjudication, where ... Qualifications Bachelor's degree or significant..
Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Metairie Louisiana Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
Cardiovascular Invasive Laboratory Specialist IV AdventHealth Tampa Location Address: ... and upgrades skills. Supervises other healthcare team members in the clinical ... Technologist [R.T.(R)] Registered Cardiovascular Invasive Specialist (RCIS) Registered..
Job Information Humana Clinical Formulary Strategy Pharmacist - Work At Home in Metairie Louisiana Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug development pipeline, and medical literature, while providing clinical ..
Job Code 2173715 If you are located within LA, TX, OR MS, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges. At UnitedHealthcare ..
Description Responsibilities As part of the Service Fund Specialty Load Team, the Senior Provider Installation Professional will work directly with our national and market contracting teams to influence specialist contract terms ..
Job Information Humana FP&A Lead, Medicaid Market in Metairie Louisiana Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..
... of coding practices and clinical documentation, grievance and appeals processes, and ... whether services provided by other healthcare professionals are in agreement with ... Delivery Systems, health insurance, other..
Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..
... is looking for an experienced Healthcare Investigator to join its industry ... enforcement authorities. Assembles evidence and documentation to support successful adjudication, where ... areas Bachelor's degree or significant..
Description The Clinical Pharmacy Lead for Pharmacy trend will be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and proactive individual ..
Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Metairie Louisiana Description The Senior Pharmacy Clinical Advisor will be part of an interactive team with broad exposure and scope ..
Job Code 2173715I If you are located within LA, TX, OR MS, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges. At UnitedHealthcare ..
