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... objectives. Required Qualifications Experience in healthcare or in a managed care ... and motivation Prior experience with healthcare fraud investigation Experience with Microsoft ... systems management or related field..
Description Responsibilities This role within the Autism Care Demonstration (ACD) Team, will work closely with Care Management leaders and Subject Matter Experts in the areas of Case Management, Utilization Management and ..
Description Humana's Primary Care Organization is a leading provider of primary care for seniors, caring for >250k patients across 9 states under CenterWell and Conviva. We are rapidly expanding our value-based ..
Description CarePlus is seeking a Nursing Educator 2 who will plan, direct, coordinate, evaluate, develop, and/or deliver training and education programs for professional nursing personnel. The Nursing Educator 2 work assignments ..
Description The Staff Clinical Pharmacist is an integral part of the Clinical Drug Policy Management team which ensures synchronization of formulary utilization management policies across multiple systems. Humana is seeking a ..
... The Senior Professional collaborates with healthcare professionals, pharmacists, and other business ... The Senior Professional collaborates with healthcare professionals, pharmacists, and other business ... finance and/or business-related pharmacy practice..
... Humana members to make informed healthcare decisions. Our key goal is ... members obtain high quality affordable healthcare while keeping our provider networks ... process improvements across various functions..
... MBA Clinical process improvement experience Lean / Six Sigma Green and/or Black Belt certification ... in the fast-paced industry of healthcare, we offer our associates careers ... impact on..
... Humana members to make informed healthcare decisions. Our key goal is ... members obtain high quality, affordable healthcare while keeping our provider networks ... process improvements across various functions..
... in the fast-paced industry of healthcare, we offer our associates career ... impact on the future of healthcare, Humana has the right opportunity ... Qualifications Bachelor's degree in Business,..
... 3 years of experience managing Healthcare Quality programs OR 8 years ... their home. We are a healthcare company committed to putting health ... Preferred Qualifications Certified Professional in..
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, ..
... 5 or more years of healthcare revenue cycle management experience may ... with Auditing and monitoring of healthcare records 3 years experience with ... large data sets Knowledge of..
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 Oncology Market Director in Troy Michigan Description The Market Director, Oncology leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' prescriptions to Humana ..
