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... regulatory and health plan guidelines. Research and document all encounter errors ... and process issues. Review and research inquiries from regulatory bodies and/or ... Qualifications Bachelor's degree in a..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Boca Raton Florida Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts ..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achieving path-to-value goals through analysis and ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
Description The Healthcare Financial Analyst collects, analyzes, and reports on ... Central Region is seeking a Healthcare Financial Analyst to partner closely with our ... complex analytics and reporting. The..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..
Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..
... strategic product extensions, and translates research discoveries into usable and marketable ... strategic product extensions and translates research discoveries into concepts to test ... Management experience Specialty Pharmacy experience..
Description The Informaticist 2 coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informaticist 2 work assignments are ..
Description The Lead Cloud Architect leads the planning, design, and engineering of enterprise-level infrastructure and platforms related to cloud computing. The Lead Cloud Architect works on problems of diverse scope and ..
