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Description The Senior Pharmacy Sales Executive - (Specialty), leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' specialty drug prescriptions to Humana Specialty Pharmacy for fulfillment. ..
Description The Professional 2, Creative Development coordinates the development of advertising/marketing communications materials by creative design and creative writing services to effectively represent the products, services, brands and/or the organization to ..
Description The RN, Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The RN ..
Job Information Humana OB Care Management Support ... Care Management Support Assistant 2/Medicaid (Bilingual English/Spanish or Creole) Remote FL ... Market Office quarterly (see additional Information below) Required Qualifications 1..
Job Information Humana Supervisor, Grievances & Appeals ... including Word, Excel, and Outlook Bilingual English/Spanish - must be able ... Microsoft PowerPoint and Access Additional Information Any Humana associate who..
Job Information Humana Women's Health Telephonic Care ... the market office (See additional information) This position is considered Remote ... protect member PHI / HIPAA information Preferred Qualifications 1-2 years..
Description The Subrogation Professional 2 iIdentifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health ..
Description The Grievances & Appeals Professional 2 manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Grievances & Appeals ..
Description The Compliance (UM) Professional 2 conducts and summarizes compliance audits. The Compliance (UM) Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses ..
