Healthcare Risk Manager Jobs in Lancaster

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 ..

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 ..

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 ..

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

Job Information Humana Senior Medical/Financial Risk Clinical Professional in Lancaster South ... Carolina Description The Senior Medical/Financial Risk Clinical Professional is responsible for ... implementation and monitoring of medical/financial risk...

... Humana Telephonic Behavioral Health Care Manager in Lancaster South Carolina 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 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 Lancaster South Carolina Description The Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ..

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..

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

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

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..

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

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 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..

... Finance M&A Integration Senior Project Manager in Lancaster South Carolina Description ... Finance M&A Integration Senior Project Manager to drive project-oriented duties related ... Finance M&A Integration Senior Project..

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 Technical Product Manager - Remote in Lancaster South ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..

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 ..

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

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

Job Information Humana Risk Adjustment Representative 3- Scheduler in ... Lancaster South Carolina Description The Risk Adjustment Representative 3 (Scheduler) conducts ... and other government agencies. The Risk Adjustment Representative..