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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... you succeed, we succeed!..
Description The Subrogation Professional 2 iIdentifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health ..
Job Information Humana Clinical Pharmacist, Remote TN in Memphis Tennessee Description ... life. Essential Duties and Responsibilities: Clinical Consultations Recommends appropriate pain and ... medication misadventure prevention by providing education..
... nation's largest full-service pharmacy benefits manager (PBM) specifically for the hospice ... innovations, flexible medication access, one-on-one clinical support, and excellent customer service. ... receive the payment. Location: Fully..
... Information Humana Associate Director/Grievances and Appeals-Remote/Virtual in US in Memphis Tennessee ... a comprehensive analytic review of clinical documentation to determine if an ... trained skillsets and/or partnerships with..
Job Information Humana Certified Pharmacy Technician, Dispensing - $1,000 Hiring Bonus! in Memphis Tennessee Description The Mail Operations Pharmacy Technician 1 accurately fills and counts medications. The Mail Operations Pharmacy Technician ..
... Information Humana Staff Consultative Pharmacist, Remote PA or TN in Memphis ... life. Essential Duties and Responsibilities: Clinical Consultations Recommends appropriate pain and ... medication misadventure prevention by providing..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Memphis Tennessee Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..
Description Enclara, is a wholly owned hospice and palliative care pharmacy business acquired by Humana in 2021. Enclara is the nation's largest full-service pharmacy benefits manager (PBM) specifically for the hospice ..
Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
... The Medical Coding Auditor extracts clinical information from a variety of ... are fortunate to offer a remote opportunity for this job. Our ... excellent professional development & continued..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Memphis Tennessee Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
Job Information Humana Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in US in Memphis Tennessee Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and ..
Job Information Humana Manager, Fraud and Waste-Remote US in Memphis Tennessee Description ... in Memphis Tennessee Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The..
Job Information Humana Consumer Experience Lead-Remote in US in Memphis Tennessee Description The Consumer Experience Lead ensures optimized interaction between a company and members. The Consumer Experience Lead works on problems ..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Memphis Tennessee Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
... Information Humana Fraud and Waste Investigator-Remote in US in Memphis Tennessee ... are fortunate to offer a remote opportunity for this job. Our ... excellent professional development & continued..
... Information Humana Certified Pharmacy Technician, Remote in Memphis Tennessee Description The ... nation's largest full-service pharmacy benefits manager (PBM) specifically for the hospice ... innovations, flexible medication access, one-on-one..
Description The Consultative Pharmacy Technician 1 certified Pharmacy Technician who acts as an intake for all calls from patients, pharmacies and providers. The Consultative Pharmacy Technician 1 performs basic administrative/clerical/operational/customer support/computational ..
... training programs designed to ensure clinical teams are equipped to successfully ... to expand utilization and improve technical/clinical competence in Mazor and Medtronic ... launches. This role is a..
... nation's largest full-service pharmacy benefits manager (PBM) specifically for the hospice ... innovations, flexible medication access, one-on-one clinical support, and excellent customer service. ... raises concerns to the pharmacy..