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Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ..
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 Director, Pharmacy Clinical Trend and Pipeline in Anchorage Alaska Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the clinical ..
Job Information Humana Clinical Pharmacy Lead, Remote in Anchorage Alaska Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and ..
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 ..
... 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..
... 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,..
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 ..
Job Information Humana Manager, Pharmacy and Medical Trend in Anchorage Alaska Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and medical, ..
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 ..
