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Job Information Humana Senior Contract Tools, Education, Processes Professional - ... Atlanta Georgia 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..
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 ..
Job Information Humana Medical Director - National Medicare Team in Atlanta Georgia Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments ..
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 ..
Job Information Humana UM Medical Director - Conviva in Atlanta Georgia Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Posted: 23-Feb-22 Location: Atlanta, Georgia Salary: Unpaid Categories: General Nursing Internal Number: 22001148_12 Description Registered Nurse Pediatric ICU AdventHealth for Children Up to $15,000 Sign-on Bonus and $5,000 Relocation available for ..
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, ..
Job Information Humana Medical Director - Florida Medicaid in Atlanta Georgia 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 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 ..
... (1354) Quality/Risk Management (19) Type Contract (1) Fellowship (0) Full Time ... Surgeon & Med Director Emory Healthcare Atlanta, Georgia NEW! NEW! Technical ... Surgeon & Med Director Emory..
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 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..
Description Provides executive leadership to Humana. 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 ..
Job Information Humana Medicare Appeals and Grievance Medical Director in Atlanta Georgia Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..
Job Information Humana FP&A Lead, Medicaid Market in Atlanta Georgia Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Job Information Humana Senior Provider Contracting Professional - TRICARE Behavioral Health in Atlanta Georgia Description Responsibilities The position will provide corporate support to the Director of Provider Contracting and is responsible ..
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 ..
