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Description The Clinical Pharmacy Advisor lead, overseeing Humana Pharmacy and Medical Trend, is a ... drive results. This individual will lead medical and pharmacy trend review and the identification .....
Description The Pharmacy Claims Lead operationalizes and monitors Coordination of ... course of action. Responsibilities Responsibilities Lead a team of Pharmacy Professionals responsible for production oversight ... testing of COB..
Description Come join the Digital Health & Analytics (DH&A) team within Humana to build a world class Data Science and Insights enterprise capability leveraging digital-first platforms, analytics, and agile development methodologies. ..
... is a part of the Pharmacy Product & Growth organization and ... drive value for CenterWell Specialty Pharmacy. This role will develop new ... enhance existing capabilities to drive..
... accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient ... operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient ... Serves as a full-time certified..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
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 Manager, Pharmacy and Medical Trend in Lancaster ... projecting Humana's drug trends, both pharmacy and medical, as well as ... positive and proactive individual to lead a..
Job Information Humana Process Improvement Lead South Carolina Medicaid (Utilization and ... Carolina Description The Process Improvement Lead analyzes, and measures the effectiveness ... process improvements. The Process Improvement Lead..
... of care. This individual will lead development of our clinical infusion ... closely with the current clinical pharmacy lead, specialty programs, infusion - commercial. ... their infusion medications Oversee..
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 ..
