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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 CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
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 ..
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 ..
Description The Staff Clinical Pharmacist is an integral part of the Clinical Drug Policy Management team which ensures synchronization of formulary utilization management policies across multiple systems. Humana is seeking a ..
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, ..
... Certified Diabetes Care and Education Specialist-Remote-US in Meridian Idaho Description The ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... Certified Diabetes Care and Education..
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 ..
... KY Premise Health Louisville, Kentucky Program Director - Family Medicine Residency ... Michigan Family Medicine Penn Highlands Healthcare DuBois, Pennsylvania Family Medicine Opportunities ... states only stem cell transplant..
... Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Meridian Idaho Description ... implementation and ongoing management of program initiatives. Works holistically with internal ... holistically with internal and external..
... errors and the Quality Improvement Program.Strictly adheres to the Walgreen Co. ... manual claims for third party program prescription services in a timely ... KPIs with Store Manager and..
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 ..
Job Information Humana Clinical Formulary Strategy Pharmacist - Work At Home in Meridian Idaho Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug development pipeline, and medical literature, while providing clinical ..
Description Risk Adjustment Coders are responsible for reviewing medical records, completing multiple audits, and special projects. Associates in this role work collaboratively with other departments. Responsibilities The Risk Adjustment Coder ensures ..
... 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..
**Company :**Highmark Inc.**Job Description :****JOB SUMMARY**This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA and ACA), using skills including but not ..
Admin / Clerical (0) Advanced Practice Registered Nurses / Physician Assistants (3) Allied Health (0) Executive (48) General Nursing (0) Operations (0) Physicians/Surgeons (4691) Quality/Risk Management (0) Type Contract (3) Fellowship ..
Job Information Humana FP&A Lead, Medicaid Market in Meridian Idaho Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..
Advanced Practice Registered Nurses / Physician Assistants (84) Executive (8) General Nursing (108) Nursing Support (2) Operations (1) Physicians/Surgeons (166) Type Contract (0) Fellowship (1) Full Time (71) Locum Tenens (0) ..
Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..
Job Information Humana Manager, Pharmacy and Medical Trend in Meridian Idaho Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and medical, ..
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 ..
Description The Clinical Pharmacy Lead for Pharmacy trend will be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and proactive individual ..
