Active Internal Medicine Jobs in Rhode Island

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 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 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 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 Description The Pharmacy Professional Practice Coordinator will support the day-to-day operational responsibilities for the CVS Pharmacy Professional Practice Team's Monitoring and Intervention Programs. This includes daily coordination of operational activities ..

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 Clinical Formulary Strategy Pharmacist - Work At Home in Newport Rhode Island Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug development pipeline, and medical literature, while providing ..

... 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 ..

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. ..

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 ..

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 Newport Rhode Island Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive ..

Job Information Humana Manager, Pharmacy and Medical Trend in Newport Rhode Island Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and ..

Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Newport Rhode Island Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the ..

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 ..

Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Newport Rhode Island Description The Senior Pharmacy Clinical Advisor will be part of an interactive team with broad exposure and ..

Job Description The Credentialing Coordinator is responsible for initial credentialing and re-credentialing nurse practitioners, physician assistants and physicians in a compliant and timely manner; monitor expired credentials and compliance monitoring in ..

Job Information Humana Associate Vice President, Quality Improvement for Healthy Horizons in Newport Rhode Island Description As a company whose primary focus is on the well-being of its members, Humana is ..

... 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..

... 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..