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Description Responsibilities The Business Support Coordinator 1 performs medical record content analysis to ensure compliance with requirements of the TRICARE contract. Prepare, scan, and stage for final distribution all medical records ..
Description As the Product Director, Channel Development & Enablement for the Group Specialty Business, you will be responsible for defining and executing upon the specialty business sales product strategy & enablement ..
... 25% Evaluates and monitors workload distribution, systems, processes, production, and quality ... experience Bachelor's degree in Business, Healthcare Administration or related field Excellent ... their home. We are a..
Description Humana Healthy Horizons in Florida is seeking a STARS Improvement Professional 2 who will develop, implement, and manage oversight of the company's Medicaid Stars Program. They will direct all quality ..
Description The Director, Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking and forecasting, supports financial sales analysis and market event news. This position will work and collaborate with ..
Description The Oncology Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization, with a focus on oncology requests. The Oncology ..
Description Humana is seeking a Senior Communications and Marketing Professional to join our growing team. The Senior Communications and Marketing Professional will create and lead strategy for Humana's Wisconsin Medicaid Market ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Glen Allen Virginia Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be ..
Description Humana's Mergers & Acquisitions group is seeking an Analyst in Corporate Development to assist in the evaluation and execution of large scale mergers and acquisitions across the enterprise. The Analyst ..
Job Information Humana Process Improvement Lead South Carolina Medicaid (Utilization and Case Management) in Glen Allen Virginia Description The Process Improvement Lead analyzes, and measures the effectiveness of existing business processes ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
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 Humana's Finance Shared Services organization is looking for a Senior Finance Acquisition Integration Professional to drive project-oriented duties related to the finance integration of acquired entities into Humana. Responsibilities As ..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
Job Information Humana Product Marketing Professional (Remote) in Glen Allen Virginia Description Humana's Primary Care Organization is looking for a Product Marketing Professional to join the team working anywhere in the ..
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 ..
Description Humana's Primary Care Organization (PCO) is seeking a Senior Product Marketer to join working remote anywhere in the U.S. This marketing professional is responsible for the implementation of marketing strategies, ..
