Healthcare Resource Network Jobs

Job Information Humana Nurse Advice Line Telephonic Nurse 2 in Springfield Missouri Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements ..

Job Information Humana Manager, Behavioral Provider Contracting - Remote in Springfield Missouri 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 Springfield Missouri Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the clinical ..

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, ..

  We are seeking progressive and entrepreneurial Advanced Practitioners (Physician Assistant/Nurse Practitioner) who have adult and pediatric experience to join our team. Mercy and GoHealth Urgent Care have partnered to create ..

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 ..

... 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..

... 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..

... 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..

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 ..

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

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

... 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,..

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

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

Description The Senior Market Development Professional provides support to assigned health plan(s) relative to Behavioral Health RFPs, product implementations and operational support. The Senior Market Development Professional work assignments involve moderately ..

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 ..

... efficiencies in AthenannOptimizationnnMetric review/BI toolnRide alongs/Resource Rides with APPsnRefine and perfect ... management experience preferrednnDispatchHealth is redefining healthcare delivery through mobile and virtual ... delivery through mobile and virtual..

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..

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 ..

  We are seeking progressive and entrepreneurial Advanced Practitioners (Physician Assistant/Nurse Practitioner) who have adult and pediatric experience to join our team. Mercy and GoHealth Urgent Care have partnered to create ..

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 ..

... 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,..