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Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..
Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, ... executes physician, hospital, and/or other provider behavioral health contracts for an ... Medicaid segment. Responsibilities The Director, Provider Contracting- Behavioral..
Description The Senior Provider Contracting Professional initiates, negotiates, and ... executes physician, hospital, and/or other provider contracts and agreements for an ... provides health insurance. The Senior Provider Contracting Professional..
Job Information Humana Provider Contracting Professional 2 - Remote ... in Pittsburgh Pennsylvania Description The Provider Contracting Professional 2 initiates, negotiates, ... executes physician, hospital, and/or other provider contracts and..
Job Information Humana Provider Contracting Professional 2 - Behavioral ... in Pittsburgh Pennsylvania Description The Provider Contracting Professional 2 initiates, negotiates, ... hospital, and/or other Behavioral Health provider contracts and..
... Market Development Advisor - Medicaid Provider Service Operations in Pittsburgh Pennsylvania ... Market Development Advisor - Medicaid Provider Service Operations provides support to ... Market Development Advisor - Medicaid..
Description The Healthcare Financial Analyst collects, analyzes, and ... Central Region is seeking a Healthcare Financial Analyst to partner closely ... closely with our local market Provider Engagement, MRA, Clinical,..
... Humana members to make informed healthcare decisions. Our key goal is ... members obtain high quality, affordable healthcare while keeping our provider networks efficient and optimal. We ... years..
Description Responsibilities As part of the Service Fund Specialty Load Team, the Senior Provider Installation Professional will work directly with our national and market contracting teams to influence specialist contract terms ..
... Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home ... variable factors. Responsibilities The Senior Provider Process Improvement Professional supports provider experience arising under the Medicaid..
Job Information Humana Senior Provider Contracting Professional - Remote (EST ... Pittsburgh Pennsylvania Description The Senior Provider Contracting Professional initiates, negotiates, and ... executes physician, hospital, and/or other provider contracts..
Job Information Humana Senior Provider Installation Professional (Service Fund) (Remote) ... organization is looking for Senior Provider Installation Professional to join the ... in the US. The Senior Provider Installation..
Job Information Humana Senior Provider Contracting Professional - Behavioral Health ... Pittsburgh Pennsylvania Description The Senior Provider Contracting Professional initiates, negotiates, and ... executes physician, hospital, and/or other provider contracts..
... Humana Lead Product Manager - Healthcare API in Pittsburgh Pennsylvania Description ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..
Description The Provider Services Market Rollout Senior Professional ... to the implementation of Humana's provider support model in new and ... Medicaid providers and drive optimal provider experience, as well..
Description The Provider Contracting Executive initiates, negotiates, and ... executes physician, hospital, and/or other provider contracts and agreements for an ... that provides health insurance. The Provider Contracting Executive works..
Job Information Humana Senior Provider Contracting Professional - Remote in ... Pittsburgh Pennsylvania Description The Senior Provider Contracting Professional initiates, negotiates, and ... executes physician, hospital, and/or other provider contracts..
... continued education Responsibilities The Senior Provider Installation Professional provides support to ... Installation Professional provides support to provider accounts by responding to inquiries ... administers the installation of assigned..
Job Information Humana Provider Contracting Executive in Pittsburgh Pennsylvania ... in Pittsburgh Pennsylvania Description The Provider Contracting Executive works with large ... and network administration in a healthcare company 2..
Job Information Humana Strategy Advisor, Healthcare Strategy in Pittsburgh Pennsylvania Description ... Pennsylvania Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..
Description The Provider Contracting Executive initiates, negotiates, and ... executes physician, hospital, and/or other provider contracts. The Provider Contracting Executive works on problems ... moderate to substantial. Responsibilities The Provider..
Job Information Humana Provider Contracting Executive - National Transplant ... in Pittsburgh Pennsylvania Description The Provider Contracting Executive initiates, negotiates, and ... executes physician, hospital, and/or other provider contracts and..