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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 Telephonic Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse work assignments are ..
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 ..
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 ..
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 ..
Job Information Humana Medicare/Medicaid Program Manager -- Remote in Torrance California Description Humana's Enterprise Shared Services organization is seeking an outstanding cross-functional program leader to join its Business Management team. This ..
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 ..
Description SHIFT: Day JobSCHEDULE: Full-timeBe part of an extraordinary teamnWe are looking for leaders at all levels of the organization who are passionate about making an impact on our members and ..
Job Information Humana Market Development Advisor - Behavioral Health/Medicaid in Torrance ... California Description The Market Development Advisor provides support to assigned health ... submissions. Responsibilities The Market Development Advisor..
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 ..
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 ..
Description As the Head of Primary Care Recruiting in Humana's Primary Care Organization, you will be responsible for developing and engaging your team and educating the business around the Talent Acquisition ..
... this transformation. The Strategy Advancement Advisor will support quality clinical strategy ... Clinical Operating Model (ECOM). The Advisor will be critical in driving ... strategy. Responsibilities The Strategy Advancement..
Job Information Humana Strategy Advisor, Healthcare Strategy in Torrance California Description ... California Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... at large. The Strategy Advancement Advisor..
Description The Pharmacy Clinical Advisor Professional 2 is an integral ... measure performance. The Pharmacy Clinical Advisor Professional 2 is responsible for ... external vendors. The Pharmacy Clinical Advisor Professional..
Job Information Humana Acquisition Integration Advisor in Torrance California Description The ... California Description The Acquisition Integration Advisor performs project-oriented duties related to ... the company. The Acquisition Integration Advisor..
Description The Hive is Humana's in-house agency, a creative collective built exclusively to support the business and the brand. We are responsible for creative content development across all media and enterprise ..
Job ID 21000LVUAvailable Openings 1Position Specific Information This is a full-time Clinical Manager role at our Carson, CA clinic! Dialysis RN and management experience is required for this role PURPOSE AND ..
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 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 ..
