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... Director, Utilization Management Nursing utilizes clinical nursing skills to support the ... to grow, the National Medicaid Clinical Operations team is expanding our ... services organization to enhance the..
... Manager, Utilization Management Nursing utilizes clinical nursing skills to support the ... Manager, Utilization Management Nursing uses clinical knowledge, communication skills, and independent ... for supporting new Medicaid Market..
... physicians, physician groups, and integrated healthcare delivery systems throughout the country. ... delivery systems throughout the country. Healthcare isn't just about health anymore. ... of our members, and the..
Description The Senior Stars Improvement Clinical Professional develops and grows positive, ... relationships with physicians, providers and healthcare systems in order to support ... Responsibilities The Senior Stars Improvement Clinical..
Description The Senior Clinical Strategy and Practice Professional builds ... strategies for development, engagement, best clinical practices and processes for clinical community within the enterprise The ... within the enterprise..
Description The Returns Team technicians are responsible for the processing of Authorized Return prescription products that are returned to the pharmacy. Responsibilities Monitor Returns Inbox for incoming requests Processing claim reversals ..
Job Information Humana Call Center Pharmacy Claims Technician in Phoenix Arizona Description Job Description Summary The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy ..
Job Information Humana Call Center Pharmacy Claims Technician, Remote in Phoenix Arizona Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative ..
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..
... as well as understanding of clinical operations, coding and billing office ... their home. We are a healthcare company committed to putting health ... coding, and billing practices Understands..
Description The Licensed Clinical Social Worker is responsible for ... service functions area. The Licensed Clinical Social Worker operates within a ... Social Worker operates within a clinical environment assess..
Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
Description Humana's Primary Care Organization is a leading provider of primary care for seniors, caring for >250k patients across 9 states under CenterWell and Conviva. We are rapidly expanding our value-based ..
... to grow, the National Medicaid Clinical Operations team is expanding our ... services organization to enhance the clinical delivery process. The National Medicaid ... The National Medicaid Director of..
Job Information Humana Certified Pharmacy Technician - $750 Retention Bonus in Phoenix Arizona Description The Returns Team technicians are responsible for the processing of Authorized Return prescription products that are returned ..
... Humana Lead Product Manager - Healthcare API in Phoenix Arizona Description ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..
