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Job Information Humana Manager, Behavioral Provider Contracting in Colorado Springs Colorado Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers and facilities. ..
Description The Manager, Provider Contracting manages a team of dental recruiters that initiates, negotiates, and executes dental provider contracts and agreements in alignment with the specialty growth strategy. The manager provider ..
Description Responsibilities The Associate Director Medical/Financial Risk Evaluation leads a few powerful teams dedicated to reducing waste and abuse in the health care industry and its impacts on Humana. These teams ..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Government. Responsibilities The Telephonic Care Manager will..
... Humana Telephonic Behavioral Health Care Manager in Colorado Springs Colorado Description ... Description The Behavioral Health Care Manager, in a telephonic environment, assesses ... members. The Behavioral Health Care..
Description The Manager, Risk Adjustment oversees coding educators and ... and Medicaid Services (CMS). The Manager, Risk Adjustment works within specific guidelines ... schedules and goals. Responsibilities The Manager, Risk..
Job Information Humana Manager, Behavioral Provider Contracting - Remote in Colorado Springs Colorado Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers ..
... Information Humana AVP, Stars and Risk Adjustment National Medical Director in ... Colorado Springs Colorado Description The Healthcare Quality Reporting & Improvement (HQRI) ... national planning and operations for..
Job Information Humana Medicare/Medicaid Program Manager -- Remote in Colorado Springs ... looking for an experienced Program Manager (internally known as an Acquisition ... contracts. As a Medicaid/Medicare Program Manager..
Description The Risk Management Professional 2 a critical ... member within Humana's Third Party Risk Management Program (TPRM), a 2nd ... our program by implementing vendor risk management practices and..
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 ..
Job Information Humana Senior Medical/Financial Risk Clinical Professional in Colorado Springs ... Colorado Description The Senior Medical/Financial Risk Clinical Professional is responsible for ... implementation and monitoring of medical/financial risk...
... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... Colorado Springs Colorado Description The Healthcare Quality Reporting & Improvement (HQRI) ... that leads Humana's Stars and..
... coding educators and reports to Risk Adjustment Director. Responsible for implementing ... clinical best practices in the risk adjustment methodology, understanding clinical suspects ... of the MRA team, the..
Job Information Humana Technical Product Manager - Remote in Colorado Springs ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
Job Information Humana Sr Medicare Risk Adjustment Coding & Documentation Improvement ... Springs Colorado Description Sr Medicare Risk Adjustment Coding & Documentation Improvement ... clinical best practices in the risk..
... Finance M&A Integration Senior Project Manager in Colorado Springs Colorado Description ... Finance M&A Integration Senior Project Manager to drive project-oriented duties related ... Finance M&A Integration Senior Project..
Job Information Humana Manager, Fraud and Waste-Remote US in ... Colorado Springs Colorado Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness by guiding members/families toward resources appropriate for the ..
... will take ownership of Medicare risk adjustment programs that fit best ... clinical best practices in the risk adjustment methodology, understanding clinical suspects ... role reports to the MRA..
... Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in ... Colorado Springs Colorado Description The Risk Management Professional 2 identifies and .....
Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..
