Healthcare Resource Network Jobs

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

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

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 ..

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 ..

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

... factors that impact a person's healthcare, to proactively guide practice and ... Advocate for navigation of complex healthcare systems, various payors, community services, ... macro level and crosses the..

... 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..

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 ..

... year of medical office **-OR-** healthcare experience Basic experience with Electronic ... in Oregon** As the largest healthcare system and largest private employer ... for trusting Providence for their..

About this role:As a Social Worker with Fresenius Medical Care, you will provide psychosocial services for our dialysis clinic patients.  You will work with the health care team to promote positive ..

Description The Associate Director, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, ..

... Advocate for navigation of complex healthcare systems, various payers, community services, ... Licensed Clinical Social Work (LCSW) Healthcare experience One (1) year experience ... in Oregon** As the largest..

... medical office - **OR** - healthcare experience Basic experience with Electronic ... in Oregon** As the largest healthcare system and largest private employer ... for trusting Providence for their..

... monitoring reports Serve as a resource liaison for investigators and other ... in Oregon** As the largest healthcare system and largest private employer ... for trusting Providence for their..

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

The Providence Provider Resource Department (PRD) is seeking a full-time physician assistant or nurse practitioner to provide coverage for all Immediate Care clinics in the Portland, Oregon service area. This is ..

... or quality Act as a resource for difficult collections Routine, ASAP, ... in Oregon** As the largest healthcare system and largest private employer ... for trusting Providence for their..

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 - RN Compact License States Only in Portland Maine Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and ..

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

... year of medical office **-OR-** healthcare experience Basic experience with Electronic ... in Oregon** As the largest healthcare system and largest private employer ... for trusting Providence for their..

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

... and act as a clinical resource Serve as a resource to staff on the unit ... and other members of the healthcare team including students; facilitates formal ... nursing,..