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... an experienced management professional to lead an interactive team with broad ... and providers. The Director, Pharmacy Clinical Formulary and Medical Strategies requires ... specialty to develop and/or implement..
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Description The Senior Clinical Business Professional manages all aspects ... and within budget. The Senior Clinical Business Professional work assignments involve ... variable factors. Responsibilities The Senior Clinical Business Professional..
... teams from across the Home Operations segment as well as other ... and across the Company. The Clinical Business Process Improvement Consultant defines ... priorities. He or she will..
Description Humana is a Fortune 60 healthcare company with a history of successful innovation and reinvention, with over 50 years as a proven leader and innovator in the health and wellness ..
... to grow, the National Medicaid Clinical Operations team is expanding our shared ... services organization to enhance the clinical delivery process. The Associate Director, ... problems within department(s), and..
Description The Senior Product Manager - Fully Insured supports strategy development, delivery, and management of the 100 medical insured portfolio for the Employer Group business. Responsibilities The Senior Product Manager supports ..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..
... Manager, Utilization Management Nursing utilizes clinical nursing skills to support the ... Manager, Utilization Management Nursing uses clinical knowledge, communication skills, and independent ... to resources, approach, and tactical..
... to grow, the National Medicaid Clinical Operations team is expanding our shared ... services organization to enhance the clinical delivery process. The National Medicaid ... The National Medicaid Director..
Description The Mail Operations Pharmacy Technician 4 assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. The associate assists the ADS Implementation & ..
... they make and help them lead their best lives. We are ... are interested in using their clinical and analytical skills to help ... the healthcare industry. As a..
Description Humana's National Medicaid Quality team is seeking a Market Consultant to be responsible for supporting individual Medicaid market quality teams and serving as the main relationship broker and liaison to ..
Description Humana Special Needs Plans provide personalized guidance and resources to help members get the right care and information based on their specific condition or needs. Beneficiaries qualify with the following ..
Description The Lead Product Manager for Specialty products ... marketplace. Responsibilities Position Overview The Lead Product Manager Leads all phases ... outcomes. Once products are launched, Lead monitors efficacy of..
... people everywhere, including our associates, lead their best lives. We support ... we serve, including our associates, lead their best lives. We support ... to obtain desired productivity and..
Description The Medicaid Clinical Strategy Lead delivers new clinical technological solutions to meet Medicaid ... to enterprise objectives. The Medicaid Clinical Strategy Lead works on problems of diverse ... to..
... health care and achieve desired clinical outcomes. As part of the ... for all activities within the clinical spectrum. This will include coordination ... accordance with the URAC, TRICARE..
... 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 Product Management Professional / Release Train Engineer in Dover Delaware Description The Senior Product Management Professional / Release Train Engineer must be able to lead, plan and ..
... Director of Product Management for Clinical Pharmacy Products develops and evaluates ... Director of Product Management for Clinical Pharmacy Products, you will be ... development of strategic, high-performing transformational..
Description The Senior Clinical Pharmacy Advisor - Trend, is ... team that helps translate the clinical into financial. The goals is ... Responsibilities include the following: Provide clinical and analytical..
... interaction with beneficiaries to address clinical conditions identified through Predictive Analytics ... medical care and achieve desired clinical outcomes. As part of the ... for all activities within the..
... Director, Utilization Management Nursing utilizes clinical nursing skills to support the ... to grow, the National Medicaid Clinical Operations team is expanding our shared ... services organization to enhance..
