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Job Information Humana Clinical Vendor Management Lead - Remote, FL in Naples Florida Description The Clinical Vendor Management Lead works as clinical liaison between vendors and organization. The Clinical Vendor Management ..
Job ID 21000LTLAvailable Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..
... assignments. Educates providers on Humana process while developing contracts and negotiating ... and network administration in a healthcare company Experience in contract preparation ... their home. We are a..
... Humana members to make informed healthcare decisions. Our key goal is ... members obtain high quality affordable healthcare while keeping our provider networks ... applicable Identifies opportunities to implement..
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 ..
Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..
Job Information Humana Corporate Strategy Consultant in Naples Florida Description Humana's Corporate Stragtegy team is a high-performing organization that works closely with Humana's senior leaders to help chart the course for ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships ... Responsibilities The Senior Value-Based Programs Analyst supports our Market and Provider ... / HIPAA information Our Hiring Process..
... makes decisions throughout product development process Requires independent judgement and exercises ... make product development an inclusive process Develop and maintain reporting measurements ... Management experience Specialty Pharmacy experience..
Description The Healthcare Financial Analyst collects, analyzes, and reports on ... Central Region is seeking a Healthcare Financial Analyst to partner closely with our ... complex analytics and reporting. The..
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 ..
Job Information Kindred at Home RN Clinical Manager in Estero Florida The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, and ..
Job Information Humana Corporate Strategist in Naples Florida Description Humana's Corporate Strategy team is a high-performing organization that works closely with Humana's senior leaders to help chart the course for the ..
... Information Humana Senior Corporate Strategy Analyst in Naples Florida Description Humana's ... Responsibilities The Senior Corporate Strategy Analyst role is modeled after top-tier ... Data Science, Data Analytics, etc.)..
Description The Lead Cloud Architect leads the planning, design, and engineering of enterprise-level infrastructure and platforms related to cloud computing. The Lead Cloud Architect works on problems of diverse scope and ..
Description CarePlus is seeking a Clinical Business Lead who will lead teams of nurses and behavior health professionals responsible for Care Management and Utilization Management. The Clinical Business Lead works on ..
