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31 fresh jobs found
Case Manager RN (Remote)
Work At Home-Texas, United States CVS Health logo CVS Health
Clinical models Community care Wellness strategies Home health care coordination Home health care Telework Post-acute care Integrative functions Clinical Tools +31
Mid Full Time
USD 60K+
Preview Apply
Business Intelligence Engineer 2
Remote US, United States Humana logo Humana
Pharmacy analytics Development programs Home health services Medication Adherence Modeling techniques Health outcomes Home Health Health Services Consumer Experiences +49
Entry Senior Mid Full Time
USD 66K+
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Medical Director - OneHome/Home Heatlth
Remote US, United States Humana logo Humana
LCD NCD Interpretative Clinical reference materials CMS policies Family practice Medical interpretation Clinical Standards National Guidelines +44
Exec Senior Full Time
USD 223K+
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Financial Analytics Lead
Remote US, United States Humana logo Humana
Analytical frameworks Durable Medical Equipment Financial analytics OKR KPI Business Insights Financial Performance Home Health Home Care +62
Senior Mid Full Time
USD 106K+
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Case Manager RN
Work At Home-North Carolina, United States CVS Health logo CVS Health
Telephonic assessment Emergency department Integrative functions Telephonic case management Clinical resources Long Term Care Clinical Tools Holistic approach RN license +27
Mid Full Time
USD 54K+
Preview Apply
Pre-Authorization Registered Nurse
Remote US, United States Humana logo Humana
MHK CGX Medical management systems MAccess Rehab Health Plan Experience MCG InterQual Medical necessity +49
Mid Full Time
USD 71K+
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Case Manager
High Point-4050 Piedmont Parkway, United States CVS Health logo CVS Health
Emergency department Integrative functions Telephonic case management Clinical resources Long Term Care Clinical Tools Holistic approach RN license Data Review +27
Mid Full Time
USD 54K+
Preview Apply
Senior RX Clinical Programs Pharmacist
Remote US Humana logo Humana
Medication therapy Home health services Development programs Medication Adherence Clinical programs Health outcomes Prescription Home Health Microsoft Office Applications +53
Senior Full Time
USD 104K+
Preview Apply
Medical Director - Florida
Remote US Humana logo Humana
Home health services Health claims review Grievance and appeals processes Outpatient services Commercial health insurance Inpatient rehabilitation Post-acute care Clinical group practice management Hospitalist +81
Exec Senior Full Time
USD 223K+
Preview Apply
Rx Clinical Programs Pharmacy Technician Representative 2
Remote US Humana logo Humana
Medication assistance Financial assistance resources Development programs Bilingual English and Spanish Clinical programs Pharmacy Technician Home health services Medication Adherence Prescription +28
Entry Mid Full Time
USD 37K+
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Lead Solutions Architect
Remote US Humana logo Humana
Augmented intelligence Multicloud Always-On Vendor Evaluation Coding practices Agile framework Scaled Agile Scaled Agile Framework Functional strategies +106
Senior Full Time
USD 139K+
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Reviewing Medical Director
Remote US Humana logo Humana
Grievance processes Care facilitation Post-acute services Health claims review Grievance and appeals processes Outpatient services Commercial health insurance Post-acute care Inpatient rehabilitation +93
Exec Senior Full Time
USD 199K+
Preview Apply
UM Administrative Coordinator
Remote US Humana logo Humana
ICD-10 codes ICD Home Health Electronic Medical Records Utilization Review ICD-10 NLP Prior authorization Authorization +41
Entry Mid Full Time
USD 37K+
Preview Apply
Medical Director - Southeast Region
Remote US Humana logo Humana
Health claims review Post-acute services Grievance and appeals processes Outpatient services Social determinants Inpatient rehabilitation Commercial health insurance Post-acute care Coding practices +80
Exec Senior Full Time
USD 199K+
Preview Apply
Senior Financial Analytics Professional
Remote US Humana logo Humana
OKR Analytical frameworks Durable Medical Equipment KPI Business Insights Home Care Home Health MS PowerPoint Analytic +57
Senior Full Time
USD 78K+
Preview Apply
Sales Development Representative
US MatrixCare HH (Remote) MatrixCare logo MatrixCare
Hospice Predictive protocols SaaS technology Home Health Strategic Selling Self-Motivation Healthcare industry Cold Calling Inside sales +17
Entry Mid Full Time
USD 60K+
Preview Apply
Medical Director - Gulf South
Remote US Humana logo Humana
Health claims review Commercial health insurance Outpatient services Grievance and appeals processes Social determinants Hospitalist Clinical group practice management Clinical reference materials Inpatient rehabilitation +81
Exec Senior Full Time
USD 199K+
Preview Apply
Associate VP, Pharmacy WFM & Operational Excellence
Remote US Humana logo Humana
Human resource compliance Multi-site operations Advanced analysis People metrics Performance Goals Operational Insights Scenario planning Development programs Business practices +89
Senior Mid Full Time
USD 181K+
Preview Apply
Clinical Programs Part time Pharmacist
Remote US Humana logo Humana
Medication therapy Development programs Clinical programs Home health services Medication Adherence Health outcomes Prescription Microsoft Office Applications Home Health +58
Senior Mid Part Time
USD 102K+
Preview Apply
Medical Director - Grievances and Appeals
Remote US Humana logo Humana
Health claims review Rehab Hospitalist Geriatrics Medical background Family practice Medical interpretation Internal Medicine Medical Director +42
Exec Senior Full Time
USD 241K+
Preview Apply
Utilization Management Nurse Consultant
Work At Home-Ohio CVS Health logo CVS Health
Benefit utilization Coverage determination Benefit management Long Term Care Telephonic Communication Clinical Criteria Medical necessity Home Health Discharge planning +30
Mid Full Time
USD 52K+
Preview Apply
Transition of Care Nurse - RN
Work At Home-Virginia CVS Health logo CVS Health
Clinical Assistance Goal Attainment Home health care coordination Home health care Emergency department Proprietary applications Navigating multiple systems RN license Keyboarding +34
Mid Full Time
USD 60K+
Preview Apply
Utilization Management Nurse Consultant
Work At Home-Texas CVS Health logo CVS Health
Benefit utilization Coverage determination Benefit management Long Term Care Telephonic Communication Medical necessity Clinical Criteria RN licensure Home Health +32
Mid Full Time
USD 58K+
Preview Apply
Utilization Management Nurse Consultant
Work At Home-Nevada CVS Health logo CVS Health
Concurrent review Clinical Judgement Clinical call center Benefit utilization Benefit management Long Term Care Clinical Criteria Home Health Acute care +20
Mid Full Time
USD 58K+
Preview Apply
Associate Director, Technology Solutions
Remote US Humana logo Humana
Quality automation Analytics Solutions Custom solutions Collaborative relationships Social Determinants of Health Health outcomes Operations Research Interoperability Digital Experience +62
Senior Mid Full Time
USD 126K+
Preview Apply
Case Manager RN- Pennsylvania
Work At Home-Pennsylvania CVS Health logo CVS Health
Emergency department Long Term Care Clinical resources Clinical Tools Holistic approach Data Review Policies and procedures RN licensure Discharge planning +23
Mid Full Time
USD 60K+
Preview Apply
Field Nurse Care Manager - Milwaukee, WI
Work at Home - Wisconsin Humana logo Humana
Health Assessment Interdisciplinary Teamwork Health and wellness Family Care Infection control Health promotion Home Health Crisis Intervention Registered Nurse +35
Mid Full Time
USD 69K+
Preview Apply
Lead Systems Engineer
Remote US Humana logo Humana
EMM Solutions Lucid COTS Custom solutions TOGAF Jamf CIS PCI M365 +64
Senior Full Time
USD 115K+
Preview Apply
UM Nurse-Compact RN License Required
Remote US Humana logo Humana
Interpreting Criteria Medical Services Health Plan Experience Clinical Nursing Home Health Rehabilitation Acute care Registered Nurse Consumer Experiences +37
Mid Full Time
USD 69K+
Preview Apply
Transition of Care Nurse - RN
Work At Home-Connecticut CVS Health logo CVS Health
Home health care coordination Clinical Assistance Goal Attainment Emergency department Proprietary applications Navigating multiple systems Clinical resources Keyboarding Holistic approach +32
Mid Full Time
USD 66K+
Preview Apply
Medical Director - Northeast Region
Remote US Humana logo Humana
Commercial health insurance Post-acute services Grievance and appeals processes Outpatient services Coding practices Clinical group practice management Judgement Inpatient rehabilitation Hospitalist +80
Exec Senior Full Time
USD 199K+
Preview Apply
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