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Description Humana's recently created Clinical Resource Team is looking to grow the team with an Inpatient Senior Medical Coding Auditor roles! This is a unique team that's primary role is to ..
Description Humana's recently created Clinical Resource Team is looking to grow the team with a Senior Medical Coding Auditor roles! This is a unique team that's primary role is to quickly ..
Description The Pre-Authorization Nurse 2 reviews Genetic testing prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The ..
Job Information Humana Care Manager, Telephonic Nurse 2-WAH-CT and MT in Aberdeen South Dakota Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and ..
... health care. Acts as an active participant and key source of ... (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine preferred Active and unrestricted DEA license..
Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Aberdeen South Dakota Description The Senior Pharmacy Clinical Advisor will be part of an interactive team with broad exposure and ..
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 ..
Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..
... the brand identity across all internal and external communications Collaborate with ... and present strategic concepts to internal marketing partners Translate business and ... culture with the agency team,..
Job Information Humana Manager, Pharmacy and Medical Trend in Aberdeen South Dakota Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and ..
Description This position is for Enclara Pharmacia, a Humana company. Enclara, is a wholly owned hospice and palliative care pharmacy business acquired by Humana in 2021. Enclara is the nation's largest ..
... determinations, MCG, clinical reference materials, internal teaching conferences, and other reference ... work, communication of decisions to internal associates, and possible participation in ... educational materials Engages with key..
... necessity criteria, clinical reference materials, internal teaching conferences, and other reference ... work, communication of decisions to internal associates, and possible participation in ... educational materials Engages with key..
Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Aberdeen South Dakota Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the ..
Job Information Humana Associate Vice President, Quality Improvement for Healthy Horizons in Aberdeen South Dakota Description As a company whose primary focus is on the well-being of its members, Humana is ..
Job Information Humana Clinical Formulary Strategy Pharmacist - Work At Home in Aberdeen South Dakota Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug development pipeline, and medical literature, while providing ..
Description Humana's Claims Cost Management (CCM) organization is seeking a Manager, Fraud & Waste to join the Provider Payment Integrity-Clinical Audit team working remote anywhere in the US. As the Fraud ..
Job Information Humana Clinical Pharmacy Lead, Remote in Aberdeen South Dakota Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive ..