Healthcare Provider Network Manager Jobs in Portland, Maine | HealthcareCrossing.com


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24

Healthcare Provider Network Manager Jobs in Portland

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Company
**********
Location
Portland, ME
Posted Date
Mar 21, 2021
Info Source
Employer  - Full-Time  90  

Job Information Humana Manager, Behavioral Provider Contracting - Remote in Portland ... in Portland Maine Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment ... and recruiting..

 
Company
**********
Location
Portland, ME
Posted Date
May 26, 2021
Info Source
Employer  - Full-Time  90  

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..

 
Company
Humana Inc.
Location
Portland, ME
Posted Date
Jan 25, 2022
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Portland, ME
Posted Date
Dec 03, 2021
Info Source
Employer  - Full-Time  90  

Job Information Humana Network Operations Lead - Behavioral Health/Medicaid ... in Portland Maine Description The Network Operations Lead maintains provider relations to support customer service ... integrity management and gathering..

 
Company
**********
Location
Scarborough, ME
Posted Date
Jun 01, 2023
Info Source
Employer  - Full-Time  90  

Job Information Genesis Healthcare Marketing and Admissions Director in ... the center's interdisciplinary team and network referral entities to coordinate a ... discharge planners to maximize referrals.Genesis HealthCare is a..

 
Company
**********
Location
Portland, ME
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

... 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..

 
Company
Humana Inc.
Location
Portland, ME
Posted Date
Oct 24, 2022
Info Source
Employer  - Full-Time  90  

... 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..

 
Company
**********
Location
Portland, ME
Posted Date
Nov 11, 2022
Info Source
Employer  - Full-Time  90  

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..

 
Company
**********
Location
Portland, ME
Posted Date
Aug 07, 2021
Info Source
Employer  - Full-Time  90  

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..

 
Company
**********
Location
Portland, ME
Posted Date
Dec 09, 2021
Info Source
Employer  - Full-Time  90  

... 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..

 
Company
**********
Location
Portland, ME
Posted Date
Oct 08, 2021
Info Source
Employer  - Full-Time  90  

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

 
Company
**********
Location
Portland, ME
Posted Date
Jul 18, 2021
Info Source
Employer  - Full-Time  90  

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..

 
Company
**********
Location
Portland, ME
Posted Date
Jul 16, 2021
Info Source
Employer  - Full-Time  90  

... 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..

 
Company
Humana Inc.
Location
Portland, ME
Posted Date
Apr 13, 2022
Info Source
Employer  - Full-Time  90  

... 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..

 
Company
Humana Inc.
Location
Portland, ME
Posted Date
Jun 21, 2021
Info Source
Employer  - Full-Time  90  

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..

 
Company
**********
Location
Portland, ME
Posted Date
Nov 15, 2021
Info Source
Employer  - Full-Time  90  

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..

 
Company
**********
Location
Portland, ME
Posted Date
Aug 18, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Portland Maine Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the clinical ..

 
Company
Humana Inc.
Location
Portland, ME
Posted Date
May 04, 2023
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
Humana Inc.
Location
Portland, ME
Posted Date
Jul 22, 2021
Info Source
Employer  - Full-Time  90  

... 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..

 
Company
**********
Location
Portland, ME
Posted Date
Dec 16, 2022
Info Source
Employer  - Full-Time  90  

... 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..

 
Company
**********
Location
Portland, ME
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Portland, ME
Posted Date
Aug 24, 2022
Info Source
Employer  - Full-Time  90  

Description As the Head of Primary Care Recruiting in Humana's Primary Care Organization, you will be responsible for developing and engaging your team and educating the business around the Talent Acquisition ..

 
Company
Humana Inc.
Location
Portland, ME
Posted Date
Sep 21, 2021
Info Source
Employer  - Full-Time  90  

Description The Senior Clinical Strategy and Practice Professional builds strategies for development, engagement, best clinical practices and processes for clinical community within the enterprise The Senior Clinical Strategy and Practice Professional ..

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