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Description The Clinical Pharmacy Lead 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, and/or ..
Job Information Humana UM Medical Director - Conviva in Indianapolis Indiana Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Description The Manager, Software Engineering codes software applications ... based on business requirements. The Manager, Software Engineering works within specific ... schedules and goals. Responsibilities The Manager, Software Engineering standardizes..
Description Humana Healthy Horizons in Indiana is seeking a Director, Provider Services (Director, Provider Engagement) who will lead a team that is accountable for growing positive, long-term relationships with network providers ..
Description The Manager, Quality Improvement implements quality improvement ... Diagnosis and Testing (EPSDT). The Manager, Quality Improvement works within specific ... schedules and goals. Responsibilities The Manager, Quality Improvement is..
... in Indianapolis Indiana Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... regional strategies for physician and..
Description The Behavioral Health Care Manager, Telephonic Nurse, in a telephonic ... wellbeing of members. The Care Manager, Telephonic Nurse work assignments are ... seeking a Behavioral Health Care Manager..
Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... home anywhere The Senior Product Manager ideates,..
Job Information Humana Associate Director, Site Reliability Engineering in Indianapolis Indiana Description The Associate Director, Site Reliability Engineering maintains, integrates and implements software applications within the organization. The Associate Director, Site ..
... in Indianapolis Indiana Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
Job Information Humana Director, State Public Policy in Indianapolis Indiana Description The Director of State Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public policy ..
Job Information Humana Care Manager, Telephonic Nurse 2 - WAH ... Indianapolis Indiana Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Description The Manager, Fraud and Waste, Genetic Counseling provides clinical support for investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste, Genetic Counseling works within specific guidelines ..
Description The Manager, Medical Coding oversees the coding team that is reviewing inpatient records for appropriate coding to include ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific guidelines ..
Description The Care Manager, Telephonic Nurse Assistant 2 receives ... from members. The NAL Care Manager, Telephonic Nurse Assistant 2 is ... degree in business or related healthcare field Bilingual..
Job Information Humana Telephonic Behavioral Health Care Manager in Indianapolis Indiana Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or ..
Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness by guiding members/families toward resources appropriate for the ..
Job Information Humana Technical Product Manager - Remote in Indianapolis Indiana ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
Job Information Humana Medicare Appeals and Grievance Medical Director in Indianapolis Indiana Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..
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 ..
... the mission of a leading healthcare company committed to improving the ... possess working knowledge of contemporary healthcare technologies and have a proven ... of academic achievement 8 years..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Indianapolis Indiana Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..