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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..
... with business owners to support compliance within the Humana Pharmacy Solutions organization. You will work ... the Risk Operations and Humana Pharmacy Solutions teams to identify, track, ... resolve,..
Job Information Humana Senior Pharmacy Claims Professional in Green Bay ... Bay Wisconsin Description The Senior Pharmacy Claims Professional adjudicates pharmacy claims and processes pharmacy claims for payment. 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..
... 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..
Job Information Humana HPS Growth Compliance & Risk Management Pharmacy Operations Lead in Green Bay ... substantial. Responsibilities Location: Remote The Compliance & Risk Management Pharmacy Operations Lead contributes to..
... Senior Risk Management Professional - Pharmacy claims in Green Bay Wisconsin ... and process improvement to support compliance within the Humana Pharmacy Solutions organization. As a Senior ... the..
Job Information Humana Senior Compliance Professional (PBM & Pharmacy) in Green Bay Wisconsin Description ... Bay Wisconsin Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior .....
Job Information Humana Risk Management Pharmacy Lead in Green Bay Wisconsin ... Location: Remote The Risk Management Pharmacy Lead contributes to the success ... strategy by supporting risk and compliance..
... 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..
... 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..
... 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..
