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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 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 Grievances & Appeals Representative 3 (Fully Bilingual English/Spanish) San Juan, PR in San Juan Puerto Rico Description The Grievances & Appeals Representative 3 manages client medical denials by ..
Description The Assistant General Counsel provides a full range of legal advice and services. The Assistant General Counsel provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced ..
... Humana Associate VP, Technology Solutions, Pharmacy in San Juan Puerto Rico ... overall technology advancement for Humana Pharmacy. This will encompass growth in ... will work strategically with Humana..
Description The Pharmacy Coordination of Benefits Representative 2 initiates contact to other insurance companies to gather coordination of benefits (COB) data. The Pharmacy Coordination of Benefits Representative 2 performs varied activities ..
... business segments (e.g. Medicare, Medicaid, Pharmacy) to identify and execute on ... are not limited to, internal pharmacy comparative effectiveness research, policy, payment ... management, behavioral health, digital health,..
Description The Strategy Advancement Advisor provides data-based strategic direction to identify and address business issues and opportunities specific to the Part D space. Provides business intelligence and strategic planning support for ..
Job Information Humana Clinical Programs Pharmacy Technician 1 (Fully Bilingual English/Spanish. ... Rico Description The Clinical Programs Pharmacy Technician 1 contributes to administration ... utilization management. The Clinical Programs Pharmacy..
Description Responsibilities The Senior Finance Professional collects, compiles, verifies, and analyzes financial information and economic indicators so that senior management has accurate and timely information for making strategic and operational decisions ..
Job Information Humana Manager, Utilization Management RN - Remote in San Juan Puerto Rico Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication ..
Description The Manager, Pharmacy Sales - Specialty leverages targeted ... route patients' prescriptions to Humana Pharmacy for fulfillment. The Manager, Pharmacy Sales - Specialty works within ... and goals. Responsibilities..
Description The Care Manager, Telephonic Nurse, 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 ..
... been building a best-in class pharmacy analytics organization that leverages data ... our experimentation framework in Humana Pharmacy Solutions. Against that backdrop we ... strategies and experiences for our..
Job Information Humana : Director, HR Business Partner - CenterWell Primary Care Organization (Florida Markets) in San Juan Puerto Rico Description CenterWell™ represents our payer-agnostic healthcare services for senior primary care, ..
