• Senior Stars Clinical

    Humana (Gainesville, FL)
    …provider visits up to 40% of the time and is not fully remote. The Senior Stars Improvement, Clinical Professional (RN) is responsible for the development, ... area and Panhandle. Far north Florida limit would be Jacksonville The Senior Stars Improvement Clinical Professional (RN) + Develops programs designed to… more
    Humana (12/07/25)
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  • Senior RN Peer Review Specialist

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …closely with CPR's Director and Clinical Lead, Operations Lead, Senior Credentialing Manager/ Compliance Consultant , Risk Specialist, Exception Review ... Cross business systems, eg, Cactus, CAQH, CMS, HURN, SalesForce, SharePoint, STARS and Verysis (CVO). #LI-Remote Minimum Education Requirements: High school degree… more
    Blue Cross Blue Shield of Massachusetts (12/25/25)
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