Medical Advisor Jobs in Maryland

Description The Clinical Pharmacy Advisor lead, overseeing Humana Pharmacy and ... lead, overseeing Humana Pharmacy and Medical Trend, is a dynamic role ... results. This individual will lead medical and..

Job Information Humana Market Development Advisor - Behavioral Health/Medicaid in Bethesda Maryland Description The Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicaid product implementation, ..

Job Information Humana Acquisition Integration Advisor in Bethesda Maryland Description The ... Maryland Description The Acquisition Integration Advisor performs project-oriented duties related to ... the company. The Acquisition Integration Advisor..

Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Bethesda Maryland Description The Senior Pharmacy Clinical Advisor will be part of an interactive team with broad exposure and scope ..

What You Will Do: Case Manager II Full-time - Day shift Midtown Campus Hospital I. General Summary Under general supervision of the Manager of Case Management, the Case Manager provides care ..

Details Sign-on Bonus: $10,000 Department: Med-Surg/Telemetry Schedule: Weekend Option, 24 hours per week (12hr shifts). Day Shift 7a-7p Saturday & Sunday OR Night Shift 7p-7a working a combination of two shifts ..

Description The Senior Pharmacy Clinical Advisor is an integral part of the Pharmacy Stars team which is accountable for Humana's medication related Star measure performance. The Senior Pharmacy Clinical Advisor develops ..

... class 800-bed, Magnet designated Academic Medical Center We are looking for ... at the University of Maryland Medical Center. As a Team Member ... interfacing with the case managers,..

Description The Senior Pharmacy Clinical Advisor requires a broad understanding of pharmacy, managed care, PBM, market and regulatory insights to develop, and/or implement formulary strategies to mitigate cost trend and improve ..

What You Will Do: Quality & Safety Coord, Sr Full-time - Day Shift UMMC - Paca Pratt Building General Summary Under limited supervision, plans, coordinates and leads quality improvement and patient ..

What You Will Do: Utilization Reviewer Rotating Shift Capital Regional Medical Center General Summary Under general supervision, provides utilization review and denials management for an assigned patient case load. This role ..

Details Sign-on bonus: $1,000-$2,500 Department: OBGYN/Natural Fertility Care Schedule: Monday-Friday, 8:00am-5:00pm Facility: Ascension Saint Agnes Location: Baltimore, MD Benefits Paid time off (PTO)Various health insurance options & wellness plansRetirement benefits including ..

Job Information Humana Strategy Advisor, Healthcare Strategy in Bethesda Maryland Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence ..

What You Will Do: Main Function: Under general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care guidelines/criteria to assess the ..

Details Department: Case Management Schedule: PRN Available shift: day shift and evening shift to include weekends depending on your availability • Option A - provide a minimum of four available days ..

Details Sign-on bonus: $1,000-$2,500 Department: Cardiology Schedule: Monday-Friday, Daytime Hours Facility: Ascension Saint Agnes Heart Care Center Location: Baltimore, MD Benefits Paid time off (PTO)Various health insurance options & wellness plansRetirement ..

What You Will Do: Under limited supervision, the Director, Care Management is accountable and responsible for the 24/7 management, leadership, coordination, productivity, and operation of system-wide care management services including, but ..

What You Will Do: Location: Baltimore, Maryland Main Function Under general supervision, leads in the overall design and implementation of the unit's education program and facilitates achievement of the highest quality ..

Details Department: Med-Surg/Telemetry Schedule: Short-Term Assignment at 8 or 12-weeks. Full-Time, 36 hours per week. Rotating 12-hour shifts. Every-other weekend, holidays as-needed. Hospital: Ascension Saint Agnes Location: Baltimore, MD Benefits Paid ..

... The RN Case Management Process Advisor also known as a Case ... The RN Case Management Process Advisor will work assignments are varied ... The Nurse Case Management Process..

Job Information Humana Market Development Advisor - Medicaid Provider Service Operations ... Maryland Description The Market Development Advisor - Medicaid Provider Service Operations ... application submissions. The Market Development Advisor..

Details Sign-on bonus: $1,000-$2,500 Department: Cardiology Schedule: Monday-Friday, 8:00am-4:30pm Hospital: Ascension Saint Agnes Location: Baltimore, MD Benefits Paid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match ..

... that potential subjects meet the medical inclusion criteria of the Lab ... of Brain Cognition. Provide continual medical education to staff to facilitate ... privacy. Perform physical examinations; place..