Healthcare Provider Jobs in Honolulu

... Value-Based Strategies -- CMS Programs Provider Engagement Lead in Honolulu Hawaii ... Value-Based Strategies - CMS Programs Provider Engagement Lead will support Humana ... Value-Based Strategies - CMS Programs..

Description The Provider Contracting Professional 2 initiates, negotiates, ... executes physician, hospital, and/or other provider contracts and agreements for an ... that provides health insurance. The Provider Contracting Professional 2..

Description The Director, Provider Reimbursement is responsible for the ... and execution of Humana Military's provider reimbursement methodologies. This leader is ... prospective payment system software, and provider-specific reimbursement factors..

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 Professional initiates, negotiates, and ... executes physician, hospital, and/or other provider contracts and agreements for an ... that provides health insurance. The Provider Contracting Professional work..

DescriptionInspire and inform each patient. Allow others to achieve their most important objectives while you achieve yours. Improve their prospects-and the vitality of your career. Connect with your goals and change ..

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..

Description The Provider Contracting Executive initiates, negotiates, and ... executes physician, hospital, and/or other provider contracts and agreements. The Provider Contracting Executive engages in strategic ... relationship-building with a variety..

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

... 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..

Start Date: ASAP DISRUPTING THE TYPICAL AGENCY MODEL Managed by an experienced team of Healthcare Staffing Pioneers, Accountable thinks a little differently from the normal staffing structure out there. Our team ..

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..

Start Date: 4/3/23 DISRUPTING THE TYPICAL AGENCY MODEL Managed by an experienced team of Healthcare Staffing Pioneers, Accountable thinks a little differently from the normal staffing structure out there. Our team ..

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 ..

Job Information Humana Provider Contracting Professional - Behavioral Health ... in Honolulu Hawaii Description The Provider Contracting Professional 2 initiates, negotiates, ... health physician, hospital, and/or other provider contracts and..

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..

DescriptionInspire and inform each patient. Allow others to achieve their most important objectives while you achieve yours. Improve their prospects-and the vitality of your career. Connect with your goals and change ..

... 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 The Senior Provider Engagement, Clinical Professional develops and ... relationships with physicians, providers and healthcare systems in order to support ... the health plan. The Senior Provider Engagement, Clinical..

DescriptionLend direction as well as a caring attitude. Bring a smile and your vital knowledge to everyone every day. Brighten prospects for patients and your career. Connect with your goals and ..

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

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 Provider Contracting Professional 2 initiates, negotiates, ... initiates, negotiates, and executes dental provider contracts and agreements for an ... that provides health insurance. The Provider Contracting Professional 2..