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Description The Clinical Pharmacy Lead 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, and/or ..
Description The Senior Medicaid Quality Data and Reporting Analyst generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and ..
Job Information Humana UM Medical Director - Conviva in Las Vegas Nevada Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
Description This position is for Enclara Pharmacia, a Humana company. Enclara, is a wholly owned hospice and palliative care pharmacy business acquired by Humana in 2021. Enclara is the nation's largest ..
Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - Remote, US in Las Vegas Nevada Description Humana Healthy Horizons is seeking a Senior Quality Program Delivery Professional who will manage ..
Job Information Humana Technical Product Manager - Remote in Las Vegas Nevada Description The Senior Product Management Professional/Technical Product Manager (TPM) must be able to lead, plan and track all phases ..
Description Manages a team of coding educators and reports to Risk Adjustment Director. Responsible for implementing operational and clinical best practices in the risk adjustment methodology, understanding clinical suspects and appropriate ..
Job Information Centerwell RN Clinical Manager Home Health Full Time in Las Vegas Nevada The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, ..
... & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US ... & Risk Management Quality Audit (QA) Risk Management Professional 2, you ... for executing the Compliance Oversight..
Job Description Position Summary EMPLOYER PAID PENSION PLAN OF 29.75% OF YOUR ANNUAL SALARY! GENEROUS BENEFITS PACKAGE! **OPEN TO CURRENT UMC EMPLOYEES ONLY** This position is considered AT-WILL and will serve ..
Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in Las Vegas Nevada Description Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be responsible for the ..