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Description The Inbound Contacts Representative 1 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs administrative/operational/customer support/computational tasks. Typically works within a framework ..
... with Field Operations to address network inadequacy, and document barriers to ... with leaders for collaboration with network & non-network partners. Coordinate and track outcome ... Electronic Questionnaire for..
... provider services, provider engagement and network development. They coordinate workforce development ... the retention of the plan's network of providers, creating a qualified, ... a qualified, serviceable and comprehensive..
Description The Director, Quality Improvement implements quality improvement programs for all lines of business including annual program description, work plan, and annual evaluation. The Director, Quality Improvement requires an in-depth understanding ..
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 Provider Contracting Coordinator 3 initiates, negotiates, and executes behavioral health provider contracts and agreements for an organization that provides health insurance. Responsibilities The Provider Contracting Coordinator 3 communicates contract ..
... for assuring that market area network plans are executed and desired ... are executed and desired government network goals are achieved (i.e. access ... building, maintaining, and analyzing/optimizing a..
Job Information Humana Manager of Fraud and Abuse Data Analytics in Cincinnati Ohio Description Responsibilities The Manager of Fraud and Abuse Data Analytics will be responsible for the supervision of the ..
CURRENT UC EMPLOYEES MUST APPLY INTERNALLY VIA SUCCESSFACTORS > HTTP://BIT.LY/UCEMPL Founded in 1819, the University of Cincinnati puts education into action, ranking among the nation's best urban public research universities. Home ..
Description The Associate Director, Quality Improvement implements quality improvement programs for all lines of business including annual program description, work plan, and annual evaluation. The Associate Director, Quality Improvement requires a ..
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 ..
