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... strategies in collaboration with the healthcare team to reduce length of ... or significant variance. Supports the healthcare team with identifying decisions maker ... discharge planning. Collaborates with the..
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Description The Behavioral Health Clinical Advisor (Care Manager, Telephonic Behavior Health 2) will audit CPT (Current Procedural Terminology) codes to ensure correct billing under TOM (TRICARE Operations Manual) policies in accordance ..
Description The Senior Risk Management Professional will be responsible for managing third party risk management (TPRM) work streams to support Humana's overall TPRM Program. Responsibilities include risk identification, data analysis, process ..
Description The Clinical Pharmacy Advisor lead, overseeing Humana Pharmacy and Medical Trend, is a dynamic role within Humana. We are seeking a positive and proactive individual to contribute to a high ..
Description The Senior Clinical Pharmacy Advisor - Trend, is a dynamic role within Humana. We are seeking a positive and proactive individual to contribute to a high performing team that helps ..
... this transformation. The Strategy Advancement Advisor will support quality clinical strategy ... Clinical Operating Model (ECOM). The Advisor will be critical in driving ... strategy. Responsibilities The Strategy Advancement..
Description The Pharmacy Clinical Advisor Professional 2 is an integral ... measure performance. The Pharmacy Clinical Advisor Professional 2 is responsible for ... external vendors. The Pharmacy Clinical Advisor Professional..
