Clinical Jobs in Boston

Description The Quality Assurance, Clinical Professional 2 consults and collaborates ... and quality. The Quality Assurance, Clinical Professional 2 work assignments are ... you should strongly consider the Clinical Quality..

... part of Humana within the Clinical IT area. We are looking ... test data management program. The Clinical Test Data Quality Lead will ... responsible for modeling the multiple..

Description Lead, Technology Solutions (Clinical UM) The Lead, Technology Solutions ... strategic technology partner for Humana's clinical business areas including Clinical Operations (focusing on Utilization management), ... Operations (focusing on..

Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Boston Massachusetts Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special Investigations ..

Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE IN THE US)) in Boston Massachusetts Description This UM Administration Coordinator 2 will contribute to administration of pre-certifications, DME, and ..

Description Do you enjoy helping those in need? Do you love researching, analyzing medical documents to determine if something was missed? Have you ever considered yourself a detective for medical claims ..

... resources which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, ... of moderately complex to complex..

... resources, which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, ... of moderately complex to complex..

Job Information Humana Senior Network Strategy Professional-- REMOTE/WORK AT HOME (ANYWHERE IN THE US) in Boston Massachusetts Description The Senior Network Strategy Professional oversees various efforts involving complex data analysis and ..

Job Information Humana UM Administration Coordinator 2 - Work at Home Thurs-Mon Schedule) in Boston Massachusetts Description (Thursday-Monday Schedule) The UM Administration Coordinator 2 contributes to administration of utilization management. The ..

Job Information Humana Credentialing Professional - Work At Home in Boston Massachusetts Description The Credentialing Professional obtains and reviews documentation to determine status in a health plan. The Credentialing Professional work ..

Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Boston Massachusetts Description Humana is looking for an experienced Healthcare Investigator to join its industry ..

Job Information Humana Senior Provider Engagement Professional - Medicaid Prospective Programs Work at Home in Boston Massachusetts Description The Senior Provider Engagement Professional develops and grows positive, long-term relationships with physicians, ..

Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Boston Massachusetts Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..

Job Information Humana UM Administration Coordinator 2 - Part Time - Work at Home (Friday-Sunday Schedule) in Boston Massachusetts Description (Friday - Sunday Schedule) The UM Administration Coordinator 2 contributes to ..

Job Information Humana Clinical Formulary Strategy Pharmacist - Work ... Boston Massachusetts Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug ... and medical literature, while providing clinical support for..

Job Information Humana Senior Medical Auditing Professional: REMOTE/WORK AT HOME in Boston Massachusetts Description The Senior Medical Coding Professional acts as the team SME (Subject Matter Expert) and provides training, guidance, ..

Job Information Humana DRG Validation Auditor: REMOTE/Work At Home (Anywhere in the US) in Boston Massachusetts Description The DRG Validation Auditor extracts clinical information from a variety of medical records and ..

... to be part of Humana Clinical technologies team !!! You have ... solutions for Humana Healthcare Services Clinical technology tea. An opportunity to ... opportunity to build and expand..

... resources which may include national clinical guidelines, Humana contract language, Humana ... coverage policies and determinations, MCG, clinical reference materials, internal teaching conferences, ... computer-based review of moderately complex..

Job Information Humana UM Administration Coordinator (M-F or Tu-Sa Schedules Available) - REMOTE/WORK AT HOME (Anywhere in the US) in Boston Massachusetts Description The UM Administration Coordinator 2 contributes to administration ..

... resources, which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, ... of moderately complex to complex..

Description The Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The Staff Utilization Management Pharmacist work assignments involve moderately ..