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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 ..
... (POC). Monitors cases to ensure documentation is in compliance with regulatory ... own the review of clinical documentation in addition to feedback and ... Case Managers and clinical staff..
Job Information Humana Senior Provider Contracting Professional in Tallahassee Florida Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization ..
Description The Grievances & Appeals Professional 2 manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Grievances & Appeals ..
FLDOH-1240 Contractor will perform the following tasks in the time and manner specified: Develop user requirement documents, design documents and screen presentations based on user requirements, user input and feedback as ..
Job Information Humana Clinical Vendor Management Lead - Remote, FL in Tallahassee Florida Description The Clinical Vendor Management Lead works as clinical liaison between vendors and organization. The Clinical Vendor Management ..
... Communicate with and provide clear documentation to other departments on issues ... Qualifications Bachelor's degree in a healthcare field or equivalent experience. 5 ... years of experience in managed..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Tallahassee Florida Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..
