Clinical Jobs in Pennsylvania

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..

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..

... 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 UM Administration Coordinator 2 - Work at Home Thurs-Mon Schedule) in Pittsburgh Pennsylvania Description (Thursday-Monday Schedule) The UM Administration Coordinator 2 contributes to administration of utilization management. The ..

Job Information Humana UM Administration Coordinator (M-F or Tu-Sa Schedules Available) - REMOTE/WORK AT HOME (Anywhere in the US) in Pittsburgh Pennsylvania 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 Pittsburgh Pennsylvania Description (Friday - Sunday Schedule) The UM Administration Coordinator 2 contributes to ..

Job Information Humana Senior Network Strategy Professional-- REMOTE/WORK AT HOME (ANYWHERE IN THE US) in Pittsburgh Pennsylvania Description The Senior Network Strategy Professional oversees various efforts involving complex data analysis and ..

... 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 Senior Provider Engagement Professional - Medicaid Prospective Programs Work at Home in Pittsburgh Pennsylvania Description The Senior Provider Engagement Professional develops and grows positive, long-term relationships with physicians, ..

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

Description The Consultative Pharmacy Technician 2 certified Pharmacy Technician who acts as an intake for all calls from patients, pharmacies and providers. The Consultative Pharmacy Technician 2 performs varied activities and ..

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

... 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 DRG Validation Auditor: REMOTE/Work At Home (Anywhere in the US) in Pittsburgh Pennsylvania Description The DRG Validation Auditor extracts clinical information from a variety of medical records and ..

Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Pittsburgh Pennsylvania Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special Investigations ..

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

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

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 ..

... 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 Pittsburgh Pennsylvania 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..