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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..
... 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 Clinical Pharmacist, Remote TN in Memphis Tennessee Description The Staff Consultative Pharmacist consults with patients, pharmacies and providers to provide patient care in the form of optimal medication ..
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Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Brentwood Tennessee Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
Description: [Customer Service / Fully Remote] - Anywhere in U.S. / $15.25 per hour / Medical, dental, & vision / PTO / Retirement plan / Company provided laptop, monitor, and headset ..
... 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 Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Brentwood Tennessee Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special Investigations ..
Job Information Humana UM Administration Coordinator (M-F or Tu-Sa Schedules Available) - REMOTE/WORK AT HOME (Anywhere in the US) in Brentwood Tennessee Description The UM Administration Coordinator 2 contributes to administration ..
Job Information Humana Clinical Formulary Strategy Pharmacist - Work ... Brentwood Tennessee Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug ... and medical literature, while providing clinical support for..
Description The Consultative Pharmacy Technician 2 certified Pharmacy Technician who acts as an intake for all calls from patients, pharmacies and providers. The Consultative Pharmacy Technician 2 performs varied activities and ..
... 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 Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Brentwood Tennessee Description Humana is looking for an experienced Healthcare Investigator to join its industry ..
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 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..