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Job Information Bristol Myers Squibb Director, Hematology Policy in Washington District Of Columbia Bristol-Myers Squibb is a global Biopharma company committed to a single mission: to discover, develop, and deliver innovative ..
Job Information Humana Manager, Behavioral Provider Contracting in Washington ... District Of Columbia Description The Manager, of Behavioral Health Provider Contracting ... contract terms, payment structures, and reimbursement rates to..
Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..
Job Information Humana Director, Contract Tools, Education, Processes (remote Eastern time zone) in Washington District Of Columbia Description The Director, Contract Tools, Education, Processes manages templates, standard documentation, policy and protocol, ..
... and restore hope. The Program Manager will develop, manage and scale ... programs that increase participation in healthcare benefit programs, as part of ... most promising offerings. The program..
HSCPC Case Manager (PRN) Day (8:30a to 5:00p ... HSC Pediatric Center (HSCPC) Case Manager oversees patients' progression through the ... referral/admission through discharge. The Case Manager actively coordinates the..
Job Information Humana Manager, Behavioral Provider Contracting - Remote ... District Of Columbia Description The Manager, of Behavioral Health Provider Contracting ... contract terms, payment structures, and reimbursement rates to..
... August 2022) The RN Case Manager is responsible for the assessment, ... the continuum. The RN Case Manager coordinates, negotiates, manages and implements ... commuter subsidy Tuition and Recertification..
Description As the Associate Director, Provider Contracting for the Mid-Atlantic region, you will lead a team of 4 associates with an enterprise mindset, continually build cultural competency, think strategically, and collaborate ..
Job Information Humana Manager, Fraud and Waste-Remote US in ... District Of Columbia Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Job Description As 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, ..
Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides managed Medicaid health insurance. Requires an ..
Job Information Humana Manager, Utilization Management Nursing - Medicare ... District Of Columbia Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
Description The Manager, Medical Coding oversees the coding team that is reviewing inpatient records for appropriate coding to include ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific guidelines ..
Job Information Humana Manager, Utilization Management RN - Remote ... District Of Columbia Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
Description The Hospital Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Hospital Contracting Executive works on problems ..
Description The Director, Provider Reimbursement is responsible for the leadership, ... execution of Humana Military's provider reimbursement methodologies. This leader is responsible ... payment system software, and provider-specific reimbursement factors..
Description The Case Manager Hybrid I/II will provide case management services to patients and their families or caregivers. Assist with assessment, participate in planning and implementation of intervention and ensure follow-up ..
Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides health insurance. Requires an in-depth understanding of ..
Description All nursing practice is based on the legal scope of practice, national and specialty nursing standards, Children's National Policies and Procedures, and in accordance with all applicable laws and regulations. ..
Description The Manager, Provider Contracting manages a team of dental recruiters that initiates, negotiates, and executes dental provider contracts and agreements in alignment with the specialty growth strategy. The manager provider ..
... 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..
