Healthcare Risk Manager Jobs in Maine

Bristol-Myers Squibb is a global Biopharma company committed to a single mission: to discover, develop, and deliver innovative medicines focused on helping millions of patients around the world in disease areas ..

Job Information Humana Manager, Behavioral Provider Contracting - Remote in Portland Maine 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 ..

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

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

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

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

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..

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 ..

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

... Humana Communications & Sales Conduct Risk Management Lead-US-Remote in Portland Maine ... Maine Description The Sales Conduct Risk Management Lead a critical member ... member of Humana's Third Party..

TeamHealth is seeking an emergency medicine medical director to lead the emergency department team at Northern Light Health Sebasticook Valley Hospital in Pittsfield, Maine. As emergency department (ED) director, you will ..

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

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

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..

... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... in Portland Maine 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 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..

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 ..

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

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

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 ..