Clinical Jobs in Kentucky

Description The Lead, Software Quality & Testing ensures that software products meet business standards, functional and non-functional requirements. The Lead, Software Quality & Testing works on problems of diverse scope and ..

Description The Quality Assurance, Clinical Professional 2 consults and collaborates ... and quality. The Quality Assurance, Clinical Professional 2 work assignments are ... you should strongly consider the Clinical Quality..

... part of Humana within the Clinical IT area. We are looking ... test data management program. The Clinical Test Data Quality Lead will ... responsible for modeling the multiple..

Description The Senior Compliance Professional will work with Humana Primary Care Organization's internal business partners to oversee and track compliance issues, trend data, prepare regular reporting, provide compliance support to PCO ..

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 ..

... resources, which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, ... of moderately complex to complex..

Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Louisville Kentucky Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..

... resources which may include national clinical guidelines, Humana contract language, Humana ... coverage policies and determinations, MCG, clinical reference materials, internal teaching conferences, ... computer-based review of moderately complex..

... resources, which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, ... of moderately complex to complex..

Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Louisville Kentucky Description Humana is looking for an experienced Healthcare Investigator to join its industry ..

Description Lead, Technology Solutions (Clinical UM) The Lead, Technology Solutions ... strategic technology partner for Humana's clinical business areas including Clinical Operations (focusing on Utilization management), ... Operations (focusing on..

Job Information Humana Clinical Formulary Strategy Pharmacist - Work ... Louisville Kentucky Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug ... and medical literature, while providing clinical support for..

Description The Senior Clinical Business Professional assists in the ... Organization is seeking a Sr. Clinical Practice Strategy Consultant to be ... to obtain desired productivity and clinical outcomes for..

Description The Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The Staff Utilization Management Pharmacist work assignments involve moderately ..

Description The Lead, Business Architect as part of Humana's Enterprise API product team, is directly responsible for providing insight, advisement and direction to teams responsible for Enterprise API catalog, developer experiences, ..

Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..

Job Information Humana UM Administration Coordinator (M-F or Tu-Sa Schedules Available) - REMOTE/WORK AT HOME (Anywhere in the US) in Louisville Kentucky Description The UM Administration Coordinator 2 contributes to administration ..

Job Information Humana UM Administration Coordinator 2 - Part Time - Work at Home (Friday-Sunday Schedule) in Louisville Kentucky Description (Friday - Sunday Schedule) The UM Administration Coordinator 2 contributes to ..

... to be part of Humana Clinical technologies team !!! You have ... solutions for Humana Healthcare Services Clinical technology tea. An opportunity to ... opportunity to build and expand..

Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE IN THE US)) in Louisville Kentucky Description This UM Administration Coordinator 2 will contribute to administration of pre-certifications, DME, and ..

... resources, which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, ... of moderately complex to complex..

Job Information Humana Senior Medical Auditing Professional: REMOTE/WORK AT HOME in Louisville Kentucky Description The Senior Medical Coding Professional acts as the team SME (Subject Matter Expert) and provides training, guidance, ..

Description The Clinical Strategy and Practice Lead builds ... strategies for development, engagement, best clinical practices and processes for clinical community within the enterprise. The ... community within the enterprise...