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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 ..
Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work ..
... with physicians, other nurses and healthcare professionals to provide care, monitor ... and document all aspects of documentation Collaborate with other disciplines to ... is a national leader in..
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 ..
... 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 Clinical Vendor Management Lead - Remote, FL in Jacksonville Florida Description The Clinical Vendor Management Lead works as clinical liaison between vendors and organization. The Clinical Vendor Management ..
Job ID 21000LJWAvailable Openings 1 PURPOSE AND SCOPE: Ensure the provision of quality patient care to all hospitalized patients in the most efficient manner in accordance with company policy. Provides direct ..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Jacksonville Florida Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..
... (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 Provider Engagement Clinical Executive - Remote FL in Jacksonville Florida Description The Provider Engagement, Clinical Executive develops and grows positive, long-term relationships with physicians, providers and healthcare systems ..
Description The Senior Provider Contracting Professional - Hospital Systems initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The Senior Contracting Professional - Hospital Systems work assignments involve ..
Job Information Humana Physician Contracting Executive in Jacksonville Florida Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The Provider Contracting Executive works ..
