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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, ..
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Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Ridgeland Mississippi Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication ..
Job Information Humana Care Manager, Telephonic Nurse 2-WAH-CT and MT in Ridgeland Mississippi Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements ..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Ridgeland Mississippi Description The Behavioral Health Quality Lead will report directly to the National Medicaid Quality Director, and be responsible for ..
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 ..
... 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 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 ..
... 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..
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 As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. The National Medicaid Director of ..
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 VP, Clinical Operations in Ridgeland Mississippi Description VP, Clinical Operations and Chief Clinical Officer of Kindred at Home, you will be responsible for planning and creating the ongoing ..
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 ..
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 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 ..
Job Information Humana Telephonic Behavioral Health Care Manager in Ridgeland Mississippi Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or ..
Job Information Humana Manager, Utilization Management RN - Remote in Ridgeland Mississippi Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Ridgeland Mississippi Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..
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 Medical Director of Long Term Care, Florida in Ridgeland Mississippi Description The Long Term Care Medical Director supports the Long Term Care program in meeting optimal member outcomes, ..
Job Information Humana Senior Sales Enablement Product Marketer in Ridgeland Mississippi Description Humana's Primary Care Organization (PCO) is looking for an experienced and passionate Product Marketer who is hyper customer focused ..
