Healthcare Resource Network Jobs

Job Information Humana Social Worker - Telephonic Behavioral Health in Lancaster South Carolina Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs ..

Job Information Humana Manager, Behavioral Provider Contracting - Remote in Lancaster South Carolina Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers ..

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

... 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..

... Tools, Education and Process for Network Language Resource Group is responsible for analyzing ... internal support to all provider network contracting associates, leaders, and provider ... Qualifications Bachelor's Degree..

... is able guide members to in-network providers, answer general benefit questions, ... education; offer support with managing network participation by using your knowledge ... degree in business or related..

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 ..

Description The Senior Professional, Medicaid Network Strategy will be accountable for ... of Humana Healthy Horizon's (Medicaid) network and provider strategy for its ... to identify, interpret, and produce network..

Job Information Humana Nurse Advice Line Telephonic Nurse - Remote- RN Compact License States Only in Lancaster South Carolina Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, ..

Job Information Humana Nurse Advice Line Telephonic Nurse - RN Compact License States Only in Lancaster South Carolina Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses ..

Job Information Humana Senior Cloud Services Engineer in Lancaster South Carolina Description Responsibilities Are you looking for an innovative way to utilize your cloud engineering skills in hybrid cloud environment and ..

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 ..

... for one of the leading healthcare organizations. Reporting to Director of ... by delivering personalized, simplified, whole-person healthcare experiences. The Associate Director, Full ... development, back-end development, database integrations,..

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 ..

... Development Professional serves as a resource to support the Market Leadership ... Well-Being and Engagement Collaborate and network with other Sr. Market Development ... that work well for us..

Job Information Humana Senior Market Development Professional - Behavioral Health/Medicaid in Lancaster South Carolina Description The Senior Market Development Professional provides support to assigned health plan and/or specialty companies relative to ..

Description Are you passionate about discovering opportunities to improve coding efficiencies and mentoring application developers in proper coding techniques for mainframe programs? Do you have a solid Cobol, DB2, and CICS ..

Categories: Physicians/Surgeons Sector: Hospital, Public and Private Internal Number: Cardiac Electrophysiologist Lancaster, PA At Lancaster General Health, our culture is what sets us apart and creates a lasting impression of our ..

Job Information Humana Manager, Pharmacy and Medical Trend in Lancaster South Carolina Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and ..

Job Information Humana Medical Director of Long Term Care, Florida in Lancaster South Carolina Description The Long Term Care Medical Director supports the Long Term Care program in meeting optimal member ..

Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ..

Lancaster, CA - Seeking Urgent Care Physicians Join the Physician Partnership Where You Have A Voice Vituity's ownership model provides autonomy, local control, and a national system of support, so you ..

... 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..