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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 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 ..
... 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 Information Humana Manager, Pharmacy and Medical Trend in Pittsburgh Pennsylvania Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and medical, ..
... 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,..
... 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..
... 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..
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 Pre-Authorization Registered Nurse, RN, 1 in Pittsburgh Pennsylvania Description The Pre-Authorization Nurse 1 reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves ..
Job Information Humana Associate Vice President, Quality Improvement for Healthy Horizons in Pittsburgh Pennsylvania Description As a company whose primary focus is on the well-being of its members, Humana is dedicated ..
... 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 Pharmacy Technician, Data Entry, Remote PA or TN ONLY in Pittsburgh Pennsylvania Description The Consultative Pharmacy Technician 2 certified Pharmacy Technician who data enters prescriptions and medication information ..
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 Pittsburgh Pennsylvania Description The Staff RX Clinical Programs Oncology Pharmacist will be responsible for building relationships with oncology clinical practices that ..
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 ..
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 Pharmacy Technician, Controlled Substance in Pittsburgh Pennsylvania Description The Consultative Pharmacy Technician 2 certified Pharmacy Technician who acts as an intake for all calls from patients, pharmacies and ..
Job Information Humana Pharmacy Technician, Controlled Substance, Remote PA or TN in Pittsburgh Pennsylvania Description The Consultative Pharmacy Technician 2 certified Pharmacy Technician who acts as an intake for all calls ..
... 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..