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Description The Oncology Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization, with a focus on oncology requests. The Oncology ..
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Description Responsibilities Associate Director of Network Architecture is responsible for building the network strategy and driving innovation. The Associate Director will lead a new organization and transform Humana's networking and communications ..
... multiple managers or highly specialized professional associates. Will manage a team ... implementation of operations, contract negotiations support, and cross functional departmental leadership ... upside contracts, inclusive of contracting..
... Major Incident Manager drives technical support teams to recover services during ... results this will require the direct partnership with other functional teams ... will include 24/7 rotating on-call..
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 ..
Job Information Humana IPA Clinical Consultant and Medical Leader - Conviva - South Tampa in Tampa Florida Description Humana's Primary Care Organization is one of the largest and fastest growing value-based ..
... by providing strategic guidance and support for EIP, IT and business ... will include a rotating on-call support for Cyber Incidents. Candidate will ... results this will require the..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
... experienced and active cyber security professional practitioner and a skilled technologist. ... analyze and use data in support of selecting, architecting, deploying and ... and active cyber security practitioner..
Description The Senior Product Marketer Develops, directs, and executes the go-to-market approach for a significant product or product category. The Senior Product Marketer work assignments involve moderately complex to complex issues ..
... Senior IT Business Performance/Process Improvement Professional monitors and measures relevant performance ... Senior IT Business Performance/Process Improvement Professional work assignments involve moderately complex ... Senior IT Business Performance/Process Improvement..
Description The Associate Director, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further request ..
Description The Grievances & Appeals Professional 2 manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Grievances & Appeals ..
Job Information Humana Subrogation Professional 2 Remote/WAH in USA in Tampa Florida Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying ..
Job Information Humana Sr. IT Disaster Recovery Engineer (Virtual remote home office eligible) in Tampa Florida Description The Senior IT Disaster Recovery Engineer will primarily support, coordinate and transform ITDR in ..
... Senior Demand and Portfolio Management Professional (Work from Home / Remote ... Senior Demand and Portfolio Management Professional organizes and prioritizes projects and ... the appropriate financial and organizational..
Job Information Humana Subrogation Professional 2-WAH in US in Tampa Florida Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying all ..
