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Job Information Humana UM Medical Director - Conviva in Phoenix Arizona Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Posted: 23-Feb-22 Location: Glendale, Arizona Salary: Open Categories: Hospitality, Facility, Environmental Support Internal Number: R55897 Primary City/State: Glendale, Arizona Department Name: Work Shift: Varied Job Category: General Operations and Culinary Services ..
Posted: 23-Feb-22 Location: Peoria, Arizona Salary: Open Categories: Nursing Support Internal Number: R70583 Primary City/State: Peoria, Arizona Department Name: PC3-Clinic Work Shift: Day Job Category: Clinical Care This position comes with ..
Posted: 28-Feb-22 Location: Sun City, Arizona Salary: Open Categories: General Nursing Internal Number: R67567 Primary City/State: Sun City, Arizona Department Name: BBWMC Medical Oncology-Hosp Work Shift: Day Job Category: Nursing Nursing ..
... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..
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 ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..
Description Humana's Marketing organization is seeking an experienced Market Research Lead to join the Market Research Department working remote anywhere in the U.S. This is a newly added role that will ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
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 ..
Job Information Humana Medicare Appeals and Grievance Medical Director in Phoenix Arizona Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..
Job Information Humana Physician - CenterWell - Phoenix, AZ- Wildflower Clinic in Phoenix Arizona Description Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary ..
Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
... environment as a pharmacy authorization specialist (also known as a UM ... state of Texas Pharmacy Authorization Specialist (UM Administration Coordinator/Pharmacy Technician) Role ... (HCPR) as a Pharmacy Authorization..
Description The Clinical Programs Pharmacy Technician Representative 2 integrates programs developed to improve overall health outcomes with a focus on prescription drugs. The Clinical Programs Pharmacy Technician Representative 2 performs varied ..
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 ..
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, ..
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 ..
Job Information Humana Physician - CenterWell - Phoenix, AZ- Alhambra Clinic in Phoenix Arizona Description Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary ..
Posted: 23-Feb-22 Location: Sun City, Arizona Salary: Open Categories: Hospitality, Facility, Environmental Support Internal Number: R65121 Primary City/State: Sun City, Arizona Department Name: Culinary & Nutrition-Hosp Work Shift: Evening Job Category: ..