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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 ..
Job ID 21000IRLAvailable Openings 1Position Specific Information West End location on Santa Rosa Rd - Richmond, VA Dialysis experience is required CCHT is required Train and mentor new hire PCTs in ..
Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..
Job Information Humana Clinical Formulary Strategy Pharmacist - Work At Home in Glen Allen Virginia Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug development pipeline, and medical literature, while providing ..
... 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..
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 Staff RX Clinical Programs Oncology Pharmacist in Glen Allen Virginia Description The Staff RX Clinical Programs Oncology Pharmacist will be responsible for building relationships with oncology clinical practices ..
Job Information Humana Manager, Pharmacy and Medical Trend in Glen Allen Virginia Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and ..
... The Physician focuses on outpatient medicine, continuity of care, health maintenance, ... assignments. Required Qualifications Doctor of Medicine or Osteopathic Medicine Board certified in Geriatric Medicine, Family Medicine or..
... care providers in quality-based, senior-focused medicine for existing and new centers ... on the training team. Maintain active clinical practice in the local ... Board Certified MD/DO in Family..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
Job Information Humana Associate Vice President, Quality Improvement for Healthy Horizons in Glen Allen Virginia Description As a company whose primary focus is on the well-being of its members, Humana is ..
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 Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Glen Allen Virginia Description The Senior Pharmacy Clinical Advisor will be part of an interactive team with broad exposure and ..
... care providers in quality-based, senior-focused medicine for existing and new centers ... recruiting and marketing events. Maintain active clinical practice in the local ... program with certification in Family..
Job Description Position is 100% remote in EST zone. Hours: 8am - 5pm EST Holidays: 1 major/1 minor required annually Utilizes clinical experience and skills in a collaborative process to assess, ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
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 ..
... 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..
