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Description The Director, Provider Contracting initiates, negotiates, and executes ... executes physician, hospital, and/or other provider contracts and agreements for an ... provides health insurance. The Director, Provider Contracting requires..
Job Information Humana Manager, Behavioral Provider Contracting in Louisville Kentucky Description ... in Louisville Kentucky Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment ... and recruiting..
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..
Job Information Humana Manager of Fraud and Abuse Data ... Louisville Kentucky Description Responsibilities The Manager of Fraud and Abuse Data ... related efforts with Claims Oversight, Provider Network Operations,..
Description As the Associate Director, Provider Contracting for the Mid-Atlantic region, ... head-on! Responsibilities The Associate Director, Provider Contracting, leads a team of ... and recruiting providers based on network..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an accomplished healthcare leader for the newly-created role ... quality, appropriate, and cost-effective behavioral..
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 ..
... Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) in ... The Director, Behavioral Health (BH) Network and Market Strategy will insure ... with business development teams and..
Job Information Humana Manager, Data Analytics in Louisville Kentucky ... Louisville Kentucky Description Responsibilities The Manager, Data Analytics (Program Integrity) will ... related efforts with Claims Oversight, Provider Network Operations,..
Description The Medical Director is a leadership position that leverages medical expertise, understanding of the TRICARE business, and managed care to support and lead on both clinical programs as well as ..
Job Information Humana Network Operations Lead - Behavioral Health/Medicaid ... in Louisville Kentucky Description The Network Operations Lead maintains provider relations to support customer service ... integrity management and gathering..
Job Information Humana Provider Contracting Professional 2 - Behavioral ... in Louisville Kentucky Description The Provider Contracting Professional 2 initiates, negotiates, ... hospital, and/or other Behavioral Health provider contracts and..
... Advantage (YHA) is a Humana-owned Healthcare Management Company dedicated to improving ... to the member's primary care provider to be included in the ... medical records and support 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..
... Organization influencing three key areas: Provider Relations, Clinical Outcomes, and Medical ... value-based innovation and pilots with network providers across the Southeast Division ... representing market specific input and..
... Tools, Education and Process for Network Language Resource Group is responsible ... for analyzing and improving current provider contracting templates, processes and standardization. ... provide internal support to all..
Job Information Humana Manager, Behavioral Provider Contracting - Remote in Louisville ... in Louisville Kentucky Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment ... and recruiting..
Description The Care Manager, Telephonic Nurse Assistant 2 receives ... from members. The NAL Care Manager, Telephonic Nurse Assistant 2 is ... is able guide members to in-network providers, answer..
Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, ... executes physician, hospital, and/or other provider behavioral health contracts for an ... or segment. Responsibilities The Director, Provider Contracting- Behavioral..
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..
Job Information Humana Manager, Data Analytics (Program Integrity) in ... Louisville Kentucky Description Responsibilities The Manager, Data Analytics (Program Integrity) will ... related efforts with Claims Oversight, Provider Network Operations,..
