Clinical Jobs in New Mexico

... Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent ... action 3-5 years of prior..

Description The Senior Stars Improvement, Clinical Professional develops and grows positive, ... performance. The Senior Stars Improvement, Clinical Professional work assignments involve moderately ... Responsibilities The Senior Stars Improvement, Clinical..

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..

... 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 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 ..

... 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..

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

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

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

... 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..

... 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 Senior Medical Auditing Professional: REMOTE/WORK AT HOME in Albuquerque New Mexico Description The Senior Medical Coding Professional acts as the team SME (Subject Matter Expert) and provides training, ..

Job Information Humana UM Administration Coordinator 2 - Part Time - Work at Home (Friday-Sunday Schedule) in Albuquerque New Mexico Description (Friday - Sunday Schedule) The UM Administration Coordinator 2 contributes ..

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

Job Information Humana UM Administration Coordinator (M-F or Tu-Sa Schedules Available) - REMOTE/WORK AT HOME (Anywhere in the US) in Albuquerque New Mexico 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..

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

... 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 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..

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 Network Strategy Professional-- REMOTE/WORK AT HOME (ANYWHERE IN THE US) in Albuquerque New Mexico Description The Senior Network Strategy Professional oversees various efforts involving complex data analysis ..