Healthcare Program Specialist Jobs

Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..

Description The Fraud Investigation Technician 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud Investigation Technician 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. ..

Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new ..

Location: Dover, DE Department: ABA Services Posted: 05/25/2023 Location Name: Delaware Wage: TBD Shift: 9:00am-5:30pm Monday Through Friday Some Weekends Come join a team of passionate therapists providing excellent pediatric therapy ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Description The Associate Director, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, ..

Wentworth-Douglass Hospital, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and ..

... We are the future of healthcare and our mission is to ... will help members through their healthcare journey, ensuring they get the ... are: Passionate about transforming our..

Description Humana is seeking an experienced management professional to lead an interactive team with broad exposure and scope within Humana. This position will work and collaborate with leaders across the Humana ..

The City of Dover Fire & Rescue is accepting applications for the positions of fulltime Firefighter/EMT, as well as to produce an eligibility list for anticipated vacancies. Salary Range: $23.48 to ..

Job Information Humana Strategy Advancement Lead - Humana Care Management in Dover Delaware Description The Strategy Advancement Lead provides data-backed strategic direction to identify and address business issues and opportunities related ..

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..

**Careers that Change Lives** Interested in a remote clinical sales role with flexible working arrangement? We have an unique opportunity for an experienced and motivated clinical sales professional to join our ..

Job Information Humana FP&A Lead, Medicaid Market in Dover Delaware Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..

Location: Dover, DE Department: ABA Services Posted: 05/25/2023 Location Name: Delaware Wage: TBD Come join a team of passionate therapists providing excellent pediatric therapy to children throughout the United States! Achieve ..

... Investigator will serve as Humana's Program Integrity Officer, who will oversee ... waste, and abuse (FWA) compliance program to prevent and detect potential ... in Ohio to increase Medicaid..

At Wentworth-Douglass, we value people who contribute to patient-centered care that enhances community health; we recognize and reward those who share our values and transform our patients' lives. We invite you ..

Job Information Humana Clinical Formulary Strategy Pharmacist - Work At Home in Dover Delaware Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug development pipeline, and medical literature, while providing clinical ..

... Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Dover Delaware Description ... implementation and ongoing management of program initiatives. Works holistically with internal ... holistically with internal and external..

Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Dover Delaware Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the clinical ..

Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..

... with senior leadership such as program updates, and market event notifications ... care, medical billing and clinical program development to drive efficiencies in ... to drive efficiencies in the..

Job Information Humana Manager, Pharmacy and Medical Trend in Dover Delaware Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and medical, ..