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... lead, overseeing Humana Pharmacy and Medical Trend, is a dynamic role ... results. This individual will lead medical and pharmacy trend review and ... develop strategies to mitigate Humana's..
Job Information Humana Senior Contract Tools, Education, Processes Professional ... Glen Allen Virginia Description The Senior Contract Tools, Education, Processes Professional ... best in class knowledge. The Senior Contract Tools,..
... reports to be shared with senior leadership such as program updates, ... broad understanding of managed care, medical billing and clinical program development ... for Medicare Trend, Formulary and..
Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program ... Glen Allen Virginia Description The Senior Pharmacy Clinical Advisor will be ... program and process quality. Leverages data to understand..
... Fund Specialty Load Team, the Senior Provider Installation Professional will work ... market contracting teams to influence specialist contract terms that align with ... Based financial analysis Experience in..
... reports to be shared with senior leadership such as trend updates, ... pharmacy trend to inform future medical strategy. Continuously monitors relevant publicly ... team environment Present confidently to..
... to join Humana's SIU. The Senior Fraud and Waste Professional conducts ... fraudulent and abusive practices. The Senior Fraud and Waste Professional work ... the analysis of situations or..
... cross-functional teams. The Performance Improvement Specialist will be responsible for monitoring ... report outs to management and senior leaders Frequently interacts with internal ... vendors, billing operations directors and..
... monitors drug development pipeline, and medical literature, while providing clinical support ... the analysis of situations or data requires an in-depth evaluation of ... coverage policies for pharmacy and..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK ... is looking for an experienced Senior Healthcare Investigator to join its ... to join Humana's SIU. The Senior Fraud and..
... and fastest growing value-based care, senior-focused primary care providers in the ... and retaining organizational talent Lead medical center operations consistent with programs ... and/or operations, Provider Practice/Healthcare or..
... forecasts financial, economic, and other data to provide accurate and timely ... and economic indicators so that senior management has accurate and timely ... Medicaid strategy, capabilities, business drivers,..