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Job ID 21000EIKAvailable Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..
Description Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated reporting. The Consumer Service Operations Professional 2 evaluates ..
... Responsibilities The Project Manager, Financial Healthcare Advisor manages all aspects of ... adherence. Develop and update formal policy & procedures to align with ... with key partners and data..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Job Information Humana Senior Copy Writer in Portsmouth New Hampshire Description Humana's The Hive is looking for a Senior Copy Writer to join the team! The Hive is Humana's in-house agency, ..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achieving path-to-value goals through analysis and ..
... Acquisitions group is seeking an Analyst in Corporate Development to assist ... acquisitions across the enterprise. The Analyst will be an integral part ... for leadership. Responsibilities The M&A..
PURPOSE AND SCOPE:The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision ..
... Information Humana Director, State Public Policy in Portsmouth New Hampshire Description ... The Director of State Public Policy role resides in Humana's Corporate ... is charged primarily with public..
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 ..
... Information Humana Senior Corporate Strategy Analyst in Portsmouth New Hampshire Description ... Responsibilities The Senior Corporate Strategy Analyst role is modeled after top-tier ... Data Science, Data Analytics, etc.)..
... Information Humana Director of Public Policy in Portsmouth New Hampshire Description ... Description The Director of Public Policy role resides in Humana's Corporate ... is charged primarily with public..
Description The Data and Reporting Professional II generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The ..
... group is seeking a Senior Analyst in Corporate Development to assist ... across the enterprise. The Senior Analyst will participate in many components ... the company. Responsibilities The Senior..
Description The Oncology Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization, with a focus on oncology requests. The Oncology ..
Description The Market Development Professional 2 provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Market Development ..
RN—ClinicalAbout this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing ..
Job Information Humana Corporate Strategy Consultant in Portsmouth New Hampshire Description Humana's Corporate Stragtegy team is a high-performing organization that works closely with Humana's senior leaders to help chart the course ..
Job ID 21000A0ZAvailable Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..
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 The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
Job ID 21000M2SAvailable Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..
... Humana Lead Product Manager - Healthcare API in Portsmouth New Hampshire ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..
