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Job Information Humana Manager, Behavioral Provider Contracting - Remote in Las Vegas Nevada 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 ..
... Humana Telephonic Behavioral Health Care Manager in Las Vegas Nevada Description ... Description The Behavioral Health Care Manager, in a telephonic environment, assesses ... members. The Behavioral Health Care..
Job Information Humana Technical Product Manager - Remote in Las Vegas ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
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 Las Vegas Nevada 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 ... Las Vegas Nevada Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud 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..
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 ..
... physician relationships and facilitating Clinical Manager and staff relationships with physicians.Presides ... procedure manuals.Collaborates with the General Manager, Group Vice President of Operations, ... to monitor efficiency of operationsPractices..
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 ... Las Vegas Nevada Description The Risk Management Professional 2 identifies 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 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 Las Vegas ... Nevada Description The Senior Medical/Financial Risk Clinical Professional is responsible for ... implementation and monitoring of medical/financial 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 Medicare/Medicaid Program Manager -- Remote in Las Vegas ... looking for an experienced Program Manager (internally known as an Acquisition ... contracts. As a Medicaid/Medicare Program Manager..
... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... Las Vegas Nevada Description The Healthcare Quality Reporting & Improvement (HQRI) ... that leads Humana's Stars and..
Description Responsibilities Senior Care Manager, Behavioral Health (BCBA) This is a non-exempt position with responsibility for utilization management and clinical decision-making as outlined in the Autism Care Demonstration (ACD) defined in ..
... Information Humana AVP, Stars and Risk Adjustment National Medical Director in ... Las Vegas Nevada Description The Healthcare Quality Reporting & Improvement (HQRI) ... national planning and operations for..
