Healthcare Contract Specialist Jobs in Missouri

... in large, complex, and integrated healthcare or payer setting Experience in ... or payer setting Experience in healthcare management and/or operations, Provider Practice/Healthcare or medical center operations Ability .....

Job Information Humana Senior Contract Tools, Education, Processes Professional - ... Springfield Missouri Description The Senior Contract Tools, Education, Processes Professional builds ... in class knowledge. The Senior Contract Tools,..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Description Responsibilities Humana's Primary Care Organization is one of the largest and fastest growing value-based, senior primary care groups in the country, providing care to over 200,000 seniors across 175 sites ..

... compliance issues Work with the Contract Compliance Officer and Compliance Officer ... designed to resolve LDH FWA contract compliance issues Respond to FWA ... meetings Required Qualifications Experience in..

Job Information Humana FP&A Lead, Medicaid Market in Springfield Missouri Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..

... Options Search Career Opportunities Hire Healthcare Professionals Pay My Bill Find ... MO, 65270 Corrections - ST, Healthcare Contract - Full Time I'm Interested ... 24/7 $500 Refer-A-Friend program..

... Physicians/Surgeons (45) Psychology (2) Type Contract (1) Fellowship (0) Full Time ... Associate II - Processing BJC HealthCare Saint Louis, Missouri NEW! NEW! ... Tennessee Registered Sleep Technologist Emory..

Job Information Humana Medical Director - Florida Medicaid in Springfield Missouri Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..

Job Information Humana UM Medical Director - Conviva in Springfield Missouri Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Admin / Clerical (188) Advanced Practice Registered Nurses / Physician Assistants (339) Allied Health (3185) Executive (81) Operations (252) Physicians/Surgeons (1354) Quality/Risk Management (19) Type Contract (1) Fellowship (0) Full Time ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

... market contracting teams to influence specialist contract terms that align with Service ... in close coordination with PCP Contract Load, Capitation Rates, Payments, and ... Adjustments teams to ensure..

Job Information Humana Medical Director - National Medicare Team in Springfield Missouri Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..

Job Information Humana Medicare Appeals and Grievance Medical Director in Springfield Missouri Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..

For Employers Senior Healthcare Recruiter Next Move, Inc Kansas ... candidates in clinical environments where healthcare providers can thrive. The recruiter ... experience or knowledge of the healthcare / nursing..