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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..
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... 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 Interested in working from home? Interested in being and advocate and making a difference in the lives of others. Join our contact center and experience a supportive team environment as ..
Description Interested in working from home? Interested in being and advocate and making a difference in the lives of others? Join our contact center and experience a supportive team environment as ..
Job Information Humana Senior Medical Auditing Professional: REMOTE/WORK AT HOME in Meridian Idaho Description The Senior Medical Coding Professional acts as the team SME (Subject Matter Expert) and provides training, guidance, ..
... 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 Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Meridian Idaho Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special Investigations ..
Description The Senior Stars Improvement, Clinical Professional responsible for the development, ... Program. The Senior Stars Improvement, Clinical Professional work assignments involve moderately ... Responsibilities The Senior Stars Improvement, Clinical..
Job Information Humana UM Administration Coordinator (M-F or Tu-Sa Schedules Available) - REMOTE/WORK AT HOME (Anywhere in the US) in Meridian Idaho Description The UM Administration Coordinator 2 contributes to administration ..
Job Information Humana UM Administration Coordinator 2 - Part Time - Work at Home (Friday-Sunday Schedule) in Meridian Idaho Description (Friday - Sunday Schedule) The UM Administration Coordinator 2 contributes to ..
Job Information Humana Clinical Formulary Strategy Pharmacist - Work ... Meridian Idaho Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug ... and medical literature, while providing clinical support for..
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 ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Meridian Idaho Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
... 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..
Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE IN THE US)) in Meridian Idaho Description This UM Administration Coordinator 2 will contribute to administration of pre-certifications, DME, and ..
Job Information Humana Senior Network Strategy Professional-- REMOTE/WORK AT HOME (ANYWHERE IN THE US) in Meridian Idaho Description The Senior Network Strategy Professional oversees various efforts involving complex data analysis and ..
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Meridian Idaho Description Humana is looking for an experienced Healthcare Investigator to join its industry ..