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Job Information Humana Manager, Behavioral Provider Contracting - Remote in Jersey ... City New Jersey 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..
Description The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare, requires and in-depth understanding ..
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..
... 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 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..
... executes physician, hospital, and/or other provider contracts and agreements for an ... and recruiting providers based on network composition and needs. Advises executives ... or more years of progressive..
Job Information Humana Network Operations Lead - Behavioral Health/Medicaid ... City New Jersey Description The Network Operations Lead maintains provider relations to support customer service ... integrity management and gathering..
Job Information Humana Manager of Fraud and Abuse Data ... New Jersey Description Responsibilities The Manager of Fraud and Abuse Data ... related efforts with Claims Oversight, Provider Network Operations,..
Job Information Humana Medical Director of Long Term Care, Florida in Jersey City New Jersey Description The Long Term Care Medical Director supports the Long Term Care program in meeting optimal ..
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 ..
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..
... 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..
... systems. Coordinate training sessions on provider accessible tools Liaison between Humana ... Humana policy updates to appropriate provider contacts Primary objective is to ... care or managed care with..
... 41) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... President, Strategy Advancement for our..
Job Information Humana Provider Contracting Professional 2 - Behavioral ... City New Jersey Description The Provider Contracting Professional 2 initiates, negotiates, ... hospital, and/or other Behavioral Health provider contracts and..
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 Director, Pharmacy Clinical Trend and Pipeline in Jersey City New Jersey Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate ..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... of the strategy inclusive of..
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..
