Clinical Practice Specialist Jobs in Meridian

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 ..

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, ..

... 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..

... Certified Diabetes Care and Education Specialist-Remote-US in Meridian Idaho Description The ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... bridge the gap and integrate..

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

... 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..

... 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..

... 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,..

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

... 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..

**Company :**Highmark Inc.**Job Description :****JOB SUMMARY**This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA and ACA), using skills including but not ..

... System is currently seeking a Clinical Nurse Specialist (CNS) for Adult Health Services ... years of distinction. As a clinical nurse specialist, you will apply advanced nursing ... Excellence..

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

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

Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies ... HPS executive leaders, Trade Relations, Clinical, Analytics, Actuaries, and Operation functions ... strategies. Responsibilities The Director, Pharmacy Clinical Formulary..

... 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..

Description The Associate Director, Clinical Pharmacy monitors drug development pipeline, ... and medical literature, while providing clinical support for internal stakeholders. Utilizes ... health outcomes. The Associate Director, Clinical Pharmacy..

... 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..

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

... 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..

Advanced Practice Registered Nurses / Physician Assistants (84) Executive (8) General Nursing (108) Nursing Support (2) Operations (1) Physicians/Surgeons (166) Type Contract (0) Fellowship (1) Full Time (71) Locum Tenens (0) ..

... 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,..

Job Information Humana CMO - Regional VP, Health Services - Intermountain Region in Meridian Idaho Description The Regional VP, Health Services relies on medical background and reviews health claims. The Regional ..