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Clinical Policy Ops Specialist: Turn Policies into Action

Humana

Humana Inc. is seeking a Clinical Policy Operations Professional 2 in Austin, TX to support clinical pharmacists by translating approved strategies into operational policies, drug lists, and benefit rules. You will ensure accuracy and compliance in UM criteria, policy system configurations, and external accreditation submissions, while delivering quality analyses and reports. Working with clinicians, pharmacists, and business partners, you will help align formulary and workflow configurations #J-18808-Ljbffr Humana

Vacancy posted 4 days ago
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