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... Where you Come In The Pharmacy Special Investigations Professional is responsible ... degree Minimum 2 years of pharmacy fraud investigations and/or pharmacy auditing and/or pharmacy tech experience Advanced knowledge..
Description The Clinical Pharmacy Advisor lead, overseeing Humana Pharmacy and Medical Trend, is a ... team that helps translate the clinical into financial. The goals is ... individual will lead..
Description The Senior Clinical Pharmacy Advisor - Trend, is a ... team that helps translate the clinical into financial. The goals is ... Responsibilities include the following: Provide clinical and..
Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Aberdeen South ... South Dakota Description The Senior Pharmacy Clinical Advisor will be part of ... optimizing medication use...
Job Information Humana Pharmacy Special Investigations Professional (Fraud, Waste ... Where you Come In The Pharmacy Special Investigations Professional is responsible ... degree Minimum 2 years of pharmacy fraud investigations..
... Specialty Drug Site of Care Specialist in Aberdeen South Dakota Description ... South Dakota Description The Specialty Pharmacy Programs Clerk 2 supports clinical programs and comprehensive insights directly .....
... Health Medical Director will provide clinical oversight to Behavioral Health (BH) ... Behavioral Health (BH) administrative and clinical programs for TRICARE beneficiaries. They ... Essential Functions and Responsibilities Lead..
Description The Staff Clinical Pharmacist is an integral part ... an integral part of the Clinical Drug Policy Management team which ... high performing team which drives clinical and operational..
Description The Clinical Pharmacy Lead for Pharmacy trend will be a part ... team that helps translate the clinical into financial to ensure Humana ... team that helps translate the..
Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies ... Strategies oversees and drives the pharmacy and medical drug formulary strategies ... HPS executive leaders, Trade Relations, Clinical, Analytics,..
Job Information Humana Clinical Pharmacy Lead, Remote in Aberdeen South ... team that helps translate the clinical into financial to ensure Humana ... to inform the financial and clinical significance..
Job Information Humana Clinical Formulary Strategy Pharmacist - Work ... South Dakota Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug ... and medical literature, while providing clinical support for..
... innovation and strategies which optimize clinical outcomes, member experience and total ... will lead development of our clinical infusion strategy focused on our ... collaborate closely with the current..
Description The Informaticist 2 coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informaticist 2 work assignments are ..
... providers. Responsibilities The Director, HPS Clinical Programs requires a broad understanding ... requires a broad understanding of pharmacy, managed care, and patient centered ... managed care, and patient centered..
... 2 Medical Directors who conduct clinical case reviews of the care ... Medical Director for the Humana Clinical Operations Behavioral Division is looking ... to BH strategy/trend/spend, Interfacing with..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Aberdeen ... team that helps translate the clinical into financial to ensure Humana ... vendors and providers. The Director, Pharmacy..
Job Information Humana Manager, Pharmacy and Medical Trend in Aberdeen ... projecting Humana's drug trends, both pharmacy and medical, as well as ... team that helps translate the clinical into..
Job Information Humana Pharmacy Claims Specialist, Remote in Aberdeen South Dakota ... Aberdeen South Dakota Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment...
... Humana Medical Director - Medicare Pharmacy Appeals in Aberdeen South Dakota ... The Medical Director relies on clinical background and reviews Medicare drug ... Determinations, CMS-recognized Compendia, NCCN, Humana..
Description The Managing Clinical Pharmacist within the Pharmacy Claim Audit & Review department ... and medical literature, while providing clinical and audit support for internal ... mitigate cost trend. The..
Description The Consumer Service Operations Representative 3 is responsible for the daily activities across multiple service functions area. The Consumer Service Operations Representative 3 performs advanced administrative/operational/customer support duties that require ..