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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 ..
Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Jersey City New Jersey Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of ..
Job Information Humana Senior Contract Tools, Education, Processes Professional - ... New Jersey Description The Senior Contract Tools, Education, Processes Professional builds ... in class knowledge. The Senior Contract Tools,..
Description The Market Development Professional 2 provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Market Development ..
Job Information Humana Director, Contract Tools, Education, Processes (remote Eastern ... New Jersey Description The Director, Contract Tools, Education, Processes manages templates, ... in class knowledge. The Director, Contract Tools,..
... Senior Provider Contracting Professional communicates contract terms, payment structures, and reimbursement ... and network administration in a healthcare company Experience in contract preparation and implementation Proficiency in ... and..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to ..
Job Information Humana Senior Provider Contracting Professional - Remote in Jersey City New Jersey Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..
Job Title: Business Analyst 3 Location: 100% Remote (Remote, ... or data analysis preferably in healthcare or 5 years of HEDIS ... business process analysis, preferably in healthcare (i.e., documenting..
Description The Healthcare Financial Analyst collects, analyzes, and reports on ... Central Region is seeking a Healthcare Financial Analyst to partner closely with our ... complex analytics and reporting. The..
Job Information Humana Provider Contracting Executive - National Transplant Network in Jersey City New Jersey Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achieving path-to-value goals through analysis and ..
Description The Senior Value-Based Analyst supports successful value-based provider relationships ... path-to-value goals. The Senior Value-Based Analyst works on problems of diverse ... substantial. Responsibilities The Senior Value-Based Analyst advises..
Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work ..
