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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
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Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for Humana ..
Company Name: Kroger Specialty Pharmacy Position Type: Employee FLSA Status: Non-Exempt POSITION SUMMARY Perform functions to dispense prescription medications and supervise pharmacy technicians, shipping, and pharmacists at an assigned locale, making ..
... to develop, execute, and monitor healthcare quality initiatives. Work in collaboration ... projects at the discretion of manager or other quality and regulatory ... Bachelor's Degree in business or..
We have exciting employment opportunities for remote HIM Coding Specialists on our Outsource Coding Team. Position Summary The HIM Coding Specialist will handle medical coding and data entry / abstraction for ..
Job Information Humana Associate Director, Site Reliability Engineering in San Juan Puerto Rico Description The Associate Director, Site Reliability Engineering maintains, integrates and implements software applications within the organization. The Associate ..
Job Information Humana Manager, Care Management/HMS (RN FULLY BILINGUAL ... Juan Puerto Rico Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management..
Job Information Humana UM Medical Director - Conviva in San Juan Puerto Rico Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve ..
Description The Manager, Software Engineering codes software applications ... based on business requirements. The Manager, Software Engineering works within specific ... schedules and goals. Responsibilities The Manager, Software Engineering standardizes..
... and other members of the healthcare team to interpret, adjust, and ... Recommend disciplinary action to Clinical Manager and initiate as appropriate. Ensure ... the absence on the Clinical..
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 ..
