Clinical Practice Specialist Jobs in Colorado Springs

Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..

... and providers. The Director, Pharmacy Clinical Formulary and Medical Strategies requires ... specialty to develop and/or implement clinical strategies to mitigate cost while ... strategies. Responsibilities The Director, Pharmacy..

Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..

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

... license and the ability to practice in all the states that ... minimum of 3 years of clinical nursing experience. Demonstrated clinical knowledge and expertise as evidenced ... solving..

... to grow, the National Medicaid Clinical Operations team is expanding our ... services organization to enhance the clinical delivery process. The National Medicaid ... The National Medicaid Director of..

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

The Senior Admission Director works with nursing center leadership team in the Colorado Springs and Pueblo area, the Market Business Development Leader and the Market President to manage an effective marketing ..

... guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) ... resources which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations,..

... guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) ... resources which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations,..

... degree 5 years of direct clinical patient care experience post residency ... health insurance, other healthcare providers, clinical group practice management. Utilization management experience in ... or InterQual Internal..

Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Colorado ... team that helps translate the clinical into financial to ensure Humana ... and providers. The Director, Pharmacy Clinical..

Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Colorado Springs ... Colorado Description The Senior Pharmacy Clinical Advisor will be part of ... to the development of..

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

... a primary care medical group practice with centers open or opening ... team consists of doctors, advanced practice professionals, Pharm D, Care Coach ... Coach Nurse, MA, Behavioral health..

... team that helps translate the clinical into financial to ensure Humana ... leadership on key metrics. Support clinical research integration activities with internal ... and cross-functional teams Five years..

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

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

... 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..

... 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..

... providers. Responsibilities The Director, HPS Clinical Programs requires a broad understanding ... managed care, and patient centered clinical programs with a focus on ... design to develop patient centered..

... Colorado Springs, Colorado. In your practice, you will provide general care ... call week.Participation in high-level tumor boards.Clinical nurse specialist to assist with inpatient responsibilities.Coverage ... We offer the..

... guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) ... resources which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations,..