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Description The Director, Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Director, Provider Contracting requires an in-depth ..
Job Information Humana Manager, Behavioral Provider Contracting in Louisville ... in Louisville Kentucky Description The Manager, of Behavioral Health Provider Contracting ... contract terms, payment structures, and reimbursement rates to..
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..
... social wellness. Responsibilities The Project Manager manages all aspects of a ... and within budget. The Project Manager's work assignments are varied and ... appropriate courses of action. Project..
Description The Senior Quality Compliance Nurse (RN) utilizes quality improvement methodology and works collaboratively with departmental and interdisciplinary teams to monitor quality, outcomes, and compliance processes. This role works with physicians/physician ..
Job Information Humana Director, Contract Tools, Education, Processes (remote Eastern time zone) in Louisville Kentucky Description The Director, Contract Tools, Education, Processes manages templates, standard documentation, policy and protocol, case studies, ..
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 ..
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 ..
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Job Information Humana Manager, Care Management Support - Remote ... in Louisville Kentucky Description The Manager, Care Management Support contributes to ... and wellbeing of members. The Manager, Care Management..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Louisville Kentucky Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Job Information Centerwell RN Clinical Manager Home Health Full Time in ... in Louisville Kentucky The Clinical Manager coordinates and oversees all direct ... raise the bar on home healthcare..
Job Information Humana Manager, Utilization Management Nursing - Medicare ... in Louisville Kentucky Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
Job Information Humana Manager, Behavioral Provider Contracting - Remote ... in Louisville Kentucky Description The Manager, of Behavioral Health Provider Contracting ... contract terms, payment structures, and reimbursement rates to..
... Information Centerwell Registered Nurse Case Manager Full Time in Louisville Kentucky ... a Home Health RN Case Manager , you will: Provide admission, ... as directed by the Clinical..
Job Information Humana Manager, Utilization Management RN - Remote ... in Louisville Kentucky Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
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 ..
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 Your Home Advantage (YHA) is a Humana-owned Healthcare Management Company dedicated to improving clinical and quality outcomes by bridging the gap between the physician's office and the member's home. YHA ..
Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..
... 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..
Overview Do you have a noticeable passion for results? You're bold, empathetic, and very resourceful, especially when results are at stake. You have what it takes: a competitive drive coupled with ..
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 ..
