Clinical Jobs in Nevada

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 UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE IN THE US)) in Las Vegas Nevada Description This UM Administration Coordinator 2 will contribute to administration of pre-certifications, DME, ..

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

... 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 - Part Time - Work at Home (Friday-Sunday Schedule) in Las Vegas Nevada Description (Friday - Sunday Schedule) The UM Administration Coordinator 2 contributes ..

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

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

... 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 UM Administration Coordinator (M-F or Tu-Sa Schedules Available) - REMOTE/WORK AT HOME (Anywhere in the US) in Las Vegas Nevada Description The UM Administration Coordinator 2 contributes to ..

... 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 Las Vegas Nevada Description The Senior Network Strategy Professional oversees various efforts involving complex data analysis ..

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

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

Description The Stars Improvement, Clinical Professional 2 responsible for the ... Stars Program. The Stars Improvement, Clinical Professional 2 work assignments are ... of action. The Stars Improvement, Clinical Professional..

Description The Senior Compliance Professional will work with Humana Primary Care Organization's internal business partners to oversee and track compliance issues, trend data, prepare regular reporting, provide compliance support to PCO ..

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 ..

... 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..

Description The Senior Clinical Business Professional assists in the ... Organization is seeking a Sr. Clinical Practice Strategy Consultant to be ... to obtain desired productivity and clinical outcomes for..

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

... 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..

... by utilizing best-in-class operating and clinical models. You can have life-changing ... member's overall wellness. • Uses clinical tools and information/data review to ... needs and benefits. • Applies..