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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 ..
... 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..
Job ID 21000KM6Available Openings 1 PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of ..
... 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 Clinical Formulary Strategy Pharmacist - Work At Home in Portland Maine Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug development pipeline, and medical literature, while providing clinical ..
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, ..
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 Associate Vice President, Quality Improvement for Healthy Horizons in Portland Maine Description As a company whose primary focus is on the well-being of its members, Humana is dedicated ..
n n Helpn n Requirementsn Conditions of Employmentn n You must be a U.S. Citizen to apply for this job.n Selective Service Registration is required for males born after 12/31/1959.n You ..
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 ..
... 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..
Job Information Humana Manager, Pharmacy and Medical Trend in Portland Maine Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and medical, ..
Job Information Humana Senior Counsel - Home Health in Portland Maine Description The Senior Counsel - Home Health position is for an attorney who will provide strategic advice and counsel on ..
Job ID 21000KM5Available Openings 1 PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of ..
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 ..
Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Portland Maine Description The Senior Pharmacy Clinical Advisor will be part of an interactive team with broad exposure and scope ..
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 Staff RX Clinical Programs Oncology Pharmacist in Portland Maine Description The Staff RX Clinical Programs Oncology Pharmacist will be responsible for building relationships with oncology clinical practices that ..
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 ..