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Description The Senior Clinical Business Professional manages all aspects ... and within budget. The Senior Clinical Business Professional work assignments involve ... variable factors. Responsibilities The Senior Clinical Business Professional..
Description The Overutilization Review and Monitoring Staff Clinical Pharmacist is a clinical pharmacist that works in Humana's Drug Management Program. This individual conducts case management on at-risk beneficiaries and potential at-risk ..
Description The Process Improvement Lead analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems of ..
... applies advanced technical knowledge and clinical criteria to solve moderately complex ... Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent ... Functions and Responsibilities Perform complex..
... in Princeton West Virginia The Clinical Assessment Advisor directly completes and ... health aides to ensure optimal clinical outcomes. Works with physician and/or ... source to obtain all pertinent..
Description The Director, Clinical Pharmacy Drug Evaluation and Policy ... Strategies oversees drug class reviews/evaluation, clinical policy strategy development, research, P&T ... and providers. Responsibilities The Director, Clinical Pharmacy Drug..
... of living options and professional clinical services. We are changing how ... the Genesis team as a Clinical Liaison -- LPN where your ... LPN where your marketing/sales and..
Description The Senior Clinical Fraud and Waste Professional performs analysis of clinical investigations of allegations of fraudulent and abusive practices. The Senior Clinical Fraud and Waste Professional work assignments involve moderately ..
Clinical Assessor (Remote) Are you an experienced Clinical Assessor looking for a new challenge? Do you value personal care? Are you motivated, energetic, and excited to become part of the Kepro ..
... Humana RN, Senior Stars Improvement, Clinical Professional in Charleston West Virginia ... a RN, Senior Stars Improvement, Clinical Professional who will be responsible ... Program. The Senior Stars Improvement,..
... patient care while maintaining cost-effective clinical operations in accordance with all ... and administrative policies as the clinical leader, has the authority to ... laws and regulations.Ensures all FMS..
... of living options and professional clinical services. We are changing how ... nursing care while achieving positive clinical outcomes, and patient/family and employee ... NursingLead, guide and direct the..
... uses advanced data analytic techniques, clinical acumen and operational insights to ... work at home anywhere Humana's Clinical Analytics and Trend (CAT) team ... and research acumen to drive..
... Information Kindred at Home RN Clinical Manager in Beckley West Virginia ... in Beckley West Virginia The Clinical Manager coordinates and oversees all ... care patient services provided by..
Description The Intern - General 2 performs duties in field of study or profession. The Intern - General 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ..
About this role: As a Clinical Manager with Fresenius Medical Care, ... care is delivered while maintaining clinical operations. As the facility leader, ... advancement: You will enter our Clinical..
Description The Technology Solutions Principal works across technology and business (both strategy and operations) teams to build an effective strategy for executing and delivering on combined initiatives. The Technology Solutions Principal ..
Description The Remote Systems Clinical Pharmacist will provide excellent customer ... maintaining relationships with Account / Clinical Management and PCO-IPU Operations teams. ... to the following: Account / Clinical Support..
**Careers that Change Lives** **A Day in the Life** Responsibilities may include the following and other duties may be assigned. Conducts on-site education and / or consulting. Supports field personnel in ..
Job Information Humana Clinical Auditor Registered Nurse Care Management or Utilization Management in Charleston West Virginia Description Humana Healthy Horizons in Ohio is seeking a Utilization and Case Management Clinical Auditors. ..
... Develop strategic initiatives for overseeing clinical integrity, especially for utilization and ... developing standards of care and clinical analytics, and serve as a ... oversight and activities. Represent the..
