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Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Fargo North Dakota Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the ..
Job Information Humana Manager, Pharmacy and Medical Trend in Fargo North Dakota Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and ..
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 UM Medical Director - Conviva in Fargo North Dakota Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
Description Responsibilities As part of the Service Fund Specialty Load Team, the Senior Provider Installation Professional will work directly with our national and market contracting teams to influence specialist contract terms ..
Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..
Job Information Humana Senior Contract Tools, Education, Processes Professional - Remote in Fargo North Dakota Description The Senior Contract Tools, Education, Processes Professional builds templates, standard documentation, policy and protocol, case ..
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 Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The Provider Contracting Executive engages in strategic negotiation and relationship-building with a variety of ..
... looking for an experienced Senior Healthcare Investigator to join its industry ... Qualifications Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 3 years of..
Job Information Humana Medical Director - National Medicare Team in Fargo North Dakota Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work ..
Job Information Humana Medical Director - S. Florida in Fargo North Dakota Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
Description The Clinical Pharmacy Lead for Pharmacy trend will be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and proactive individual ..
Job Information Humana Clinical Pharmacy Lead, Remote in Fargo North Dakota Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive ..
Job Information Humana Medical Director - Florida Medicaid in Fargo North Dakota Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..
Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..
Description Humana's Marketing organization is seeking an experienced Market Research Lead to join the Market Research Department working remote anywhere in the U.S. This is a newly added role that will ..
Job Information Humana FP&A Lead, Medicaid Market in Fargo North Dakota Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina ..