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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 ..
... cost trend and improve health outcomes. The Clinical Formulary Strategy Pharmacist ... inform formulary strategies. Collaborates on research projects and develops proposals for ... projects and develops proposals for..
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 ..
Description The Informaticist 2 coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informaticist 2 work assignments are ..
Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain high quality ..
... a focus on improving health outcomes via optimized medication use. Responsibilities ... a focus on improving health outcomes via optimized medication use. Deliver ... of existing offerings. Supports clinical..
Description The Director, Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking and forecasting, supports financial sales analysis and market event news. This position will work and collaborate with ..
Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..
... acumen to solve for the healthcare challenges of today. The Clinical ... clinical opportunities to improve health outcomes and improve the value of ... trend including member experience, health..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Description Humana is a Fortune 60 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of the ..
Description The Healthcare Financial Analyst collects, analyzes, and ... and member experience to financial outcomes. Responsibilities The East Central Region ... Central Region is seeking a Healthcare Financial Analyst to..
Job Information Humana Associate VP, Clinical Pharmacy (Remote) in Portland Maine Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support and strategy to ..
... We deliver value through detailed research, data-driven insights, strategic planning, structured ... attributes: Creative - Adept at research to determine the opportunity and ... wellness innovation strategy. Conducts market..
... and achieve cost and success outcomes. Once products are launched, Lead ... and achieve cost and success outcomes. Once products are launched, Lead ... iterative development Provides ongoing success..
Qualifications nn n Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.nnBasic Requirements:nntUnited States ..
Job Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) in Portland Maine Description The Director, Behavioral Health (BH) Network and Market Strategy will insure that the appropriate providers are ..
Job Information Humana Director, Informatics in Portland Maine Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..
... regulatory and health plan guidelines. Research and document all encounter errors ... and process issues. Review and research inquiries from regulatory bodies and/or ... Qualifications Bachelor's degree in a..
... predict likely legislative or regulatory outcomes Provide proactive strategic counsel to ... 5 or more years of healthcare policy experience including a track ... working independently on applied analysis,..
Description The Associate Director, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, ..
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 facilitate ..
