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Description Healthcare isn't just about health anymore. It's about caring for ... one the nation's leading integrated health companies, Humana, we put the ... make our centers a leading health..
... The Care Manager, Telephonic Nurse 2 , in a telephonic environment, ... The Care Manager, Telephonic Nurse 2 work assignments are varied and ... The Care Manager, Telephonic Nurse..
Description The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and federal regulations as well as internal policies and guidelines ..
Job Information Humana Clinical Formulary Strategy Pharmacist - Work ... South Carolina Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug ... and medical literature, while providing clinical support for..
... on opportunities to improve member health outcomes, member and care manager ... member and care manager experience, clinical quality, and savings to medical ... anywhere The Humana Care Management..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Lancaster ... team that helps translate the clinical into financial to ensure Humana ... and providers. The Director, Pharmacy Clinical..
... team that helps translate the clinical into financial to ensure Humana ... trend while improving our member's health. Partner across Humana to identify ... leadership on key metrics. Support..
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..
... The Care Manager, Telephonic Nurse 2 employs a variety of strategies, ... member's physical, environmental and psycho-social health issues. Identifies and resolves barriers ... in achieving and maintaining optimum..
... providers. Responsibilities The Director, HPS Clinical Programs requires a broad understanding ... managed care, and patient centered clinical programs with a focus on ... with a focus on improving..
... on medical background and reviews health claims. The Medical Director work ... Medical Director supports the Medicaid program in meeting optimal member outcomes, ... resources which may include national..