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Job Information Humana Clinical Recruiter 2 - VSP in Troy Michigan Description The Clinical Recruiter 2 interviews prospective employees for hourly and salaried positions. Assists with Pharmacy recruiting from entry level ..
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Description The Director, Strategy Advancement provides data-based strategic direction identifying and delivering new avenues of growth is a critical company priority, championed by the SVP of Retail Strategy & Product. We're ..
Description The Senior Medicaid Quality Data and Reporting Analyst generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and ..
Description The Clinical Recruiter recruits and interviews prospective employees for hourly and salaried positions for our Care Delivery Organization. Humana is seeking a recruiter who is a self-starter, able to work ..
Description Humana Healthy Horizons in Florida is seeking a STARS Improvement Professional 2 who will develop, implement, and manage oversight of the company's Medicaid Stars Program. They will direct all quality ..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Description Humana is seeking a Senior Talent Sourcer that will source candidates for our Primary Care Organization and Clinical Operations Recruiting team. The Senior Sourcing Recruiter's responsibilities include using various channels ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Troy Michigan Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be responsible ..
... to fill current and future staffing needs. Source talent, screen for fit, coordinate ... fulfilling home health Per Diem staffing needs. Establish working relationships with ... achievement of department..
Description The Remote Systems Clinical Pharmacist will provide excellent customer service to both internal and external customers by developing and maintaining relationships with Account / Clinical Management and PCO-IPU Operations teams. ..
... of applications, application follow-up, primary source verification and collection of qualifications, ... experience Bachelor's degree in Business, Healthcare Administration or related field Excellent ... their home. We are a..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Troy Michigan Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and ..
Description The care team clinical pharmacist is responsible for providing comprehensive, relationship-driven pharmaceutical care for members in order to support optimal health and well-being. Clinical activities will include comprehensive medication reviews, ..
Description Assist with maintenance of Automated Dispensing Systems (ADS) servers/consoles in support of DEA- and Board of Pharmacy (BoP)-compliant remote medication dispensing in Hospice IPU settings. Support implementation project management. Assist ..
Job Information Humana Senior Clinical Recruiter in Troy Michigan Description The Senior Clinical Recruiter recruits qualified applicants for staff nurse or other positions requiring registered nurse licensure, licensed practical nurse, or ..
Description Please note that this role requires you to work 4 days a week (including Saturday and Sunday), 10 hours a day, from your home office. If you cannot accommodate this ..
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 ..
Description The Senior Physician Recruiter recruits qualified physicians for medical staff and assists in development of strategic physician recruitment plans. The Senior Physician Recruiter work assignments involve moderately complex to complex ..
Description The Medical Records Retrieval Representative travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding staff. Responsibilities The ..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding ..
