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Description The Pharmacy Claims Lead - Overpayment works ... from moderate to substantial. The Pharmacy Claims Lead will lead the ... Part D and review of pharmacy claims containing invalid..
... strategy by supporting risk and compliance initiatives across Clinical, Pharmacy and Home Solutions teams. As ... to identify strategic, operational, and compliance risks and implementing control practices. ... teams..
... working in tandem with Humana Pharmacy Inc. and Humana Pharmacy Solutions (PBM) leadership to successfully ... department's strategy in meeting accreditation compliance through existing polices, processes and ... complex..
... status reports/metrics to executive leadership, compliance and functional area leaders on ... and Effects Analysis (FMEA), etc.) Pharmacy experience - degree from an ... from an accredited college of..
Description The Senior Compliance Professional ensures compliance with governmental requirements, specifically risk ... clinics including serving as a compliance subject matter expert for revenue ... value-based care programs. The Senior..
Description The Pharmacy Claims Professional 2 is responsible ... and maintaining guidelines. Responsibilities The Pharmacy Claims Professional 2 analyzes and ... analyzes and answers inquiries regarding pharmacy claims adjudication, including..
... Professional 2 reports through Humana's Pharmacy Supply Chain and performs DSCSA ... (Drug Supply Chain Security Act) compliance related tasks in support of ... tasks in support of Humana's..
... Marketing Operations team, the QA Auditor reviews marketing communications for accuracy ... the accuracy review , the auditor uses proof reading skills and ... the adherence review , the..
... Senior Risk Management Professional - Pharmacy claims in Davenport Iowa Description ... and process improvement to support compliance within the Humana Pharmacy Solutions organization. As a Senior ... the..
