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... Professional for SC Medicaid communicates contract terms, payment structures, and reimbursement ... and network administration in a healthcare company or healthcare system Medicaid behavioral health contracting ... and communicating..
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 Green Bay Wisconsin Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing ..
Job Information Humana Senior Contract Tools, Education, Processes Professional - ... Bay Wisconsin Description The Senior Contract Tools, Education, Processes Professional builds ... in class knowledge. The Senior Contract Tools,..
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 ..
... 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..
u003cpu003eu003cstrongu003eWho We Areu003c/strongu003eu003c/pu003enu003cpu003eu003ca href=u0022https://www.wpshealthsolutions.com/about/index.shtmlu0022 target=u0022_blanku0022 rel=u0022noopeneru0022u003eWPS Health Solutionsu003c/au003e is a leading not-for-profit health insurer in Wisconsin. Our services offer health insurance plans for individuals, families, seniors, and group plans for small ..
Job Information Humana Provider Contracting Executive - Remote for InterMountain Region in Green Bay Wisconsin Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..
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..
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 ..
... Humana Senior Consumer Service Operations Analyst-Remote KY, IN or WI in ... submissions, routes, rejects and pertinent contract loading topics. Drive automation opportunities ... or 3 years of Provider..
Job Information Humana Senior Provider Contracting Professional - Remote in Green Bay Wisconsin Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements ..
u003cpu003eThe Data Analyst Internship Program with WPS Health ... clinical staff and their Medicare contract requirementsu003c/liu003enu003cliu003eComplete ad hoc data requests, ... a degree in Data Science, Healthcare Informatics, Statistics, Computer..
Job Information Humana Senior Provider Contracting Professional - Remote Opportunity in Green Bay Wisconsin Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts 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..
Job Information Humana Provider Contracting Executive - National Transplant Network in Green Bay Wisconsin Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements ..
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 ..
