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Description The Staff Clinical Pharmacist manages the formulary processes for the Clinical Formulary Administration team for the Medicaid LOB. The Staff Clinical Pharmacist work assignments involve moderately complex to complex issues ..
Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..
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Description The Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The Staff Utilization Management Pharmacist work assignments involve moderately ..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Torrance California Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the clinical ..
Population Management Support Coordinator (Bilingual Spanish)','1178686','Jun 9, 2023','!*! Job Summary: Identify, track and contact patients for the purpose of achieving out reach program goals and achievements associated with improving the quality ..
Description The Director, Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking and forecasting, supports financial sales analysis and market event news. This position will work and collaborate with ..
Job Information Humana Clinical Pharmacy Lead, Remote in Torrance California Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and ..
Description The Senior Pharmacy Clinical Advisor is an integral part of the Pharmacy Stars team which is accountable for Humana's medication related Star measure performance. The Senior Pharmacy Clinical Advisor develops ..
PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care ..
Allied Health (1) Executive (81) General Nursing (2227) Nursing Support (132) Operations (316) Quality/Risk Management (20) Type Contract (0) Fellowship (0) Full Time (429) Locum Tenens (0) Part Time (13) Partnership ..
Job ID 21000E0RAvailable Openings 1Position Specific Information $10,000 SIGN ON BONUS!!! Excellent benefits, quarterly bonus opportunity. This role is in a ambulatory surgery center. Strongly prefer someone with an RN background. ..
Job Information Humana Care Management Support Professional- Prescription Assistance Program-CenterWell-Remote in Torrance California Description The Care Management Support Professional 1 contributes to administration of care management. Provides non-clinical support to the ..
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 ..
Job Information Humana Call Center Pharmacy Claims Technician in Torrance California Description Job Description Summary The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy ..
POSITION FEATURES:Hourly Position OVERTIME ELIGIBLE!M-F 8-430 PM shiftsPURPOSE AND SCOPE: Supports FMCNA's mission,vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy ..
Job Information Humana Call Center Pharmacy Claims Technician, Remote in Torrance California Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative ..
... pharmacies to ensure that patients’ medication profiles are accurately completed and ... receive their necessary medications and medication refills in a timely manner.PRINCIPAL ... ensure the accuracy of patient..
Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Torrance California Description The Senior Pharmacy Clinical Advisor will be part of an interactive team with broad exposure and scope ..
