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Job Information Humana Manager, Behavioral Provider Contracting - Remote in Pittsburgh ... in Pittsburgh Pennsylvania 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 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..
... Urgently Hiring Apply Now Gale Healthcare Paid Daily Certified Nursing Assistant ... Pittsburgh Medical Center Discharge Plan Manager (NO WEEKENDS)- UPMC Mercy Rehab ... Care.com Seeking Full-time Senior Care..
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..
Job Information Humana Manager of Fraud and Abuse Data ... Pittsburgh Pennsylvania Description Responsibilities The Manager of Fraud and Abuse Data ... related efforts with Claims Oversight, Provider Network Operations,..
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 Medicaid initiates, ... executes physician, hospital, and/or other provider behavioral health contracts for an ... Medicaid segment. Responsibilities The Director, Provider Contracting- Behavioral..
... 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..
... 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..
Job DescriptionAs a MinuteClinic Nurse Practitioner (Provider), you will provide accurate assessment, diagnosis, and treatment of common family illnesses for patients 18 months and older. You will have the tools, training ..
... 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..
Job Information Humana Network Operations Lead - Behavioral Health/Medicaid ... in Pittsburgh Pennsylvania Description The Network Operations Lead maintains provider relations to support customer service ... integrity management and gathering..
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 ..
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..
... 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..
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 ..
Job Description : JOB SUMMARY This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate resource utilization, identification of opportunities ..
... 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 Director, Pharmacy Clinical Trend and Pipeline in Pittsburgh Pennsylvania Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the clinical ..
Description Healthcare isn't just about health anymore. ... of our members, and the healthcare industry. Responsibilities In this role, ... in the PCO. As a provider trainer, you will be..
