Healthcare Risk Manager Jobs

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

Description Responsibilities The Telephonic Care Manager will be part of the Humana Military Care Management team; providing a comprehensive, holistic approach for Disease Management and Personal Nurse programs throughout the continuum ..

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..

Job Information Humana Care Manager, Telephonic Nurse 2 Certified Diabetes Care and Education Specialist-Remote-US in Indianapolis Indiana Description The Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless nursing ..

... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... in Indianapolis Indiana Description The Healthcare Quality Reporting & Improvement (HQRI) ... that leads Humana's Stars and..

Job Information Humana Medicare/Medicaid Program Manager -- Remote in Indianapolis Indiana ... looking for an experienced Program Manager (internally known as an Acquisition ... contracts. As a Medicaid/Medicare Program Manager..

PURPOSE AND SCOPE: Manages the provision of quality patient care in an independent home therapy program while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and ..

Job Information Humana Manager, Fraud and Waste-Remote US in ... in Indianapolis Indiana Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

... Information Humana AVP, Stars and Risk Adjustment National Medical Director in ... in Indianapolis Indiana Description The Healthcare Quality Reporting & Improvement (HQRI) ... national planning and operations for..

Job Information Humana Enterprise Risk Management Lead-US-Remote in Indianapolis Indiana ... Indiana Description The Sales Conduct Risk Management Lead a critical member ... member of Humana's Third Party Risk Management..

Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... implement change, while mitigating operational risk. The..

... honor of working with dedicated healthcare professionals that make a positive ... impact in aiding those needing healthcare services across the U.S. every ... our focus in assisting remarkable..

... Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in ... in Indianapolis Indiana Description The Risk Management Professional 2 identifies and .....

Description The Care Manager, Telephonic Nurse 2, in a ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a Telephonic Care Manager for our..

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 Senior Medical/Financial Risk Clinical Professional in Indianapolis Indiana ... Indiana Description The Senior Medical/Financial Risk Clinical Professional is responsible for ... implementation and monitoring of medical/financial risk...

POSITION FEATURES:Sign On Bonus: $10,000 PURPOSE AND SCOPE:Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..

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 ..

... Finance M&A Integration Senior Project Manager in Indianapolis Indiana Description Humana's ... Finance M&A Integration Senior Project Manager to drive project-oriented duties related ... Finance M&A Integration Senior Project..

Job Information Humana Technical Product Manager - Remote in Indianapolis Indiana ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..

... Humana Telephonic Behavioral Health Care Manager in Indianapolis Indiana Description The ... Description The Behavioral Health Care Manager, in a telephonic environment, assesses ... members. The Behavioral Health Care..

... work.(sm) The utilization management (UM) manager is responsible for the supervisory ... discharge planning functions. The UM manager actively participates in management decision ... programs Coordinates with the SIU..

Job Information Humana Risk Management Professional 2-Remote, US in ... in Indianapolis Indiana Description The Risk Management Professional 2 a critical ... member within Humana's Third Party Risk Management Program..