Healthcare Risk Manager Jobs in Mesa

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 in Phoenix Arizona Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers and facilities. Analyzes ..

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 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 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 ..

This position leads a designated medical coding team across multiple locations. The position has shared responsibility to assist in achieving the business unit goals in targeted areas such as unbilled accounts ..

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 ..

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

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 ..

... 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 Enterprise Risk Management Lead-US-Remote in Phoenix Arizona ... Arizona 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..

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

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 ID** 2022-160094 **JOB OVERVIEW** **_It makes me feel good knowing that we make the residents lives better. We laugh with them, cry with them, sing and dance with them we ..

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

Job ID 21000KHFAvailable Openings 1 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, ..

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

... a clinical caseload.The Rehabilitation Program Manager will understand and fulfill the ... fiscal integrity. The Rehabilitation Program Manager serves as an advocate, educator, ... to the community, physicians, other..

... is seeking an RN Case Manager to work closely with patients ... their families, physicians, and other healthcare team members to ensure needed ... of post-discharge services, including home..

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

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..

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