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Part-Time Bilingual Spanish Medicaid Eligibility Advisor - West Hills','26573-140187','United States-California-West Hills-West Hills Hospital and Medical Center','PRN/Per Diem','Admitting Registration Clerical & Scheduling','!*! Position Summary: Responsible for conducting eligibility screenings, assessment of patient ..
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Description The Behavioral Health Clinical Advisor (Care Manager, Telephonic Behavior Health 2) will audit CPT (Current Procedural Terminology) codes to ensure correct billing under TOM (TRICARE Operations Manual) policies in accordance ..
Description The Clinical Pharmacy Advisor lead, overseeing Humana Pharmacy and Medical Trend, is a dynamic role within Humana. We are seeking a positive and proactive individual to contribute to a high ..
u003cpu003eFounded in 1965, Telecare is a rapidly growing mental health care company dedicated to making a difference for our clients, the community, and our employees. We offer an array of mental ..
... will refer case to attending physician. If no determination, the UR ... the case to the UR Physician Advisor. Performs the initial IQ and ... verbal and written communication..
Description The Behavioral Health Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer Group product implementation, operations, contract compliance, and federal contract application submissions. The ..
Essential Functions:Provides superior patient care and advice.Serves as Subject Matter Expert (SME) for the full range of digital dentistry, including intraoral scanning, restorative materials, prosthetic design, and milling technologies.Acts as clinical ..
Description The Senior Clinical Pharmacy Advisor - Trend, is a dynamic role within Humana. We are seeking a positive and proactive individual to contribute to a high performing team that helps ..
Job Information Humana Strategy Advisor, Healthcare Strategy in Torrance California Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence ..
Job Information Humana Market Development Advisor - Behavioral Health/Medicaid in Torrance California Description The Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicaid product implementation, ..
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 ..
Job Description Description: Type of Appointment : Full Time, Probationary Collective Bargaining Unit : APC -Unit 4 Job Classification : Student Services Professional III Classification Salary Range : $4,691 - $6,683 ..
Description Humana has articulated a long-term vision to transform from a health insurance company to a health services company distinguished by the prioritization of the health outcomes and care experiences of ..
Essential Functions:Research, compile, and edit subject matter related to dental industry using PubMed, Google Scholar, and Cochrane databases; determines relevant datasets to extract and incorporate into literature.Creates Clinical Evaluation Reports (CER) ..
Job Information Humana Acquisition Integration Advisor in Torrance California Description The Acquisition Integration Advisor performs project-oriented duties related to the integration of an acquired entity into the company. The Acquisition Integration ..
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 ..
Description The Pharmacy Clinical Advisor Professional 2 is an integral part of the Pharmacy Stars team which is accountable for Humana's Patient Safety and medication related Star measure performance. The Pharmacy ..
Description The Senior Pharmacy Clinical Advisor requires a broad understanding of pharmacy, managed care, PBM, market and regulatory insights to develop, and/or implement formulary strategies to mitigate cost trend and improve ..
Job Description Description: Type of Appointment : Full Time, Probationary Collective Bargaining Unit : APC - Unit 4 Job Classification : Student Services Professional III Classification Salary Range : $4,691 - ..
Description The Strategy Advancement Advisor provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence and strategic planning support for business segments or the company at ..
Description Humana's Mergers & Acquisitions group is seeking a Senior Analyst in Corporate Development to assist in the evaluation and execution of large scale mergers and acquisitions across the enterprise. The ..