Healthcare Clinician Jobs

Description The Lead Medical Director relies on medical background and reviews health claims. The Lead Medical Director requires a solid understanding of how organization capabilities interrelate across department(s). Responsibilities The Lead ..

... acumen to solve for the healthcare challenges of today. The Clinical ... low value care and related healthcare resource waste, with a focus ... news and reports in the..

Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to solve for the healthcare challenges of today. The Clinical Analytics and Trend team uses advanced scientific techniques, ..

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 facilitate ..

Job Information Humana Manager, Utilization Management RN - Remote in Fargo North Dakota Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of ..

Description The Behavioral Health Care Coordinator, 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 facilitate interaction ..

Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness by guiding members/families toward resources appropriate for the ..

Job Information Humana Medical Director - Medicare Pharmacy Appeals in Fargo North Dakota Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments ..

Description The Nurse Auditor 2 will work on the clinical research and development team with coders, clinicians and genetic counselors to develop, implement and maintain clinical lab audit concepts. The Nurse ..

n n Helpn n Requirementsn Conditions of Employmentn n n n ntYou must be a U.S. Citizen to apply for this job.ntSelective Service Registration is required for males born after 12/31/1959.ntMust ..

Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Fargo North Dakota Description The Behavioral Health Quality Lead will report directly to the National Medicaid Quality Director, and be responsible ..

Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..

Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..

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 ..

Job Information Humana Telephonic Behavioral Health Care Manager in Fargo North Dakota Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve ..

Job Information Humana Senior Sales Enablement Product Marketer in Fargo North Dakota Description Humana's Primary Care Organization (PCO) is looking for an experienced and passionate Product Marketer who is hyper customer ..

Description Humana's Primary Care Organization (PCO) is looking for an experienced and passionate Senior Product Marketing Professional to join the PCO's Field Marketing team. This is a remote role that will ..

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Fargo North Dakota Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and ..

... reducing waste and overuse of healthcare services, while encouraging high value ... Trend (CAT) team needs your healthcare, analytic, and research acumen to ... have the opportunity to support..

Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to solve for the healthcare challenges of today. The Clinical Analytics and Trend team uses advanced scientific techniques, ..

... key process domains: (1) seeking/gathering physician/clinician perspectives, (2) collaborating with business ... business leaders to infuse the physician/clinician voice within the enterprise, and ... enterprise, and (3) developing/promoting/elevating the..

Job Information Humana Care Manager, Telephonic Nurse 2-WAH-CT and MT in Fargo North Dakota Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and ..

Position: ENTnLocation: Fargo, NDnnMPLT Healthcare is looking for physicians who ... benefits of working with MPLT Healthcare include:nnn Flexibility u2013 work when, ... access to your personal MPLT Healthcare consultantn..