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Job Information Humana Senior Contract Tools, Education, Processes Professional - ... Vegas Nevada Description The Senior Contract Tools, Education, Processes Professional builds ... in class knowledge. The Senior Contract Tools,..
... analysis of data, and strategic contract performance improvement initiatives. Act as ... of specialty network contracts. Analyze contract performance and provide evaluation on ... existing contracts. Build and maintain..
Job Information Humana UM Medical Director - Conviva in Las Vegas Nevada Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
... (1354) Quality/Risk Management (19) Type Contract (1) Fellowship (0) Full Time ... Transcriptionist- PRN Nights Mary Washington Healthcare Fredericksburg, Virginia NEW! NEW! Magnetic ... a key member of our..
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 FP&A Lead, Medicaid Market in Las Vegas Nevada Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina ..
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 ..
Job Information Humana Medicare Appeals and Grievance Medical Director in Las Vegas Nevada Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare ..
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 home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..
... 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..
Admin / Clerical (0) Advanced Practice Registered Nurses / Physician Assistants (3) Allied Health (0) Executive (48) General Nursing (0) Operations (0) Physicians/Surgeons (4691) Quality/Risk Management (0) Type Contract (3) Fellowship ..
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 ..
