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Job Information Humana Manager, Behavioral Provider Contracting in Washington District Of Columbia Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers and ..
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 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 ..
... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... District Of Columbia Description The Healthcare Quality Reporting & Improvement (HQRI) ... that leads Humana's Stars and..
... Humana Telephonic Behavioral Health Care Manager in Washington District Of Columbia ... Description The Behavioral Health Care Manager, in a telephonic environment, assesses ... members. The Behavioral Health Care..
Job Information Humana Senior Medical/Financial Risk Clinical Professional in Washington District ... Columbia Description The Senior Medical/Financial Risk Clinical Professional is responsible for ... implementation and monitoring of medical/financial risk...
... Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in ... District Of Columbia Description The Risk Management Professional 2 identifies and .....
Job Information Humana Manager, Behavioral Provider Contracting - Remote in Washington District Of Columbia Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to ..
Job Information Humana Medicare/Medicaid Program Manager -- Remote in Washington District ... looking for an experienced Program Manager (internally known as an Acquisition ... contracts. As a Medicaid/Medicare Program Manager..
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..
Job Information Humana Technical Product Manager - Remote in Washington District ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
Description The Manager, STARS Improvement develops, implements, and ... Stars improvement team. Responsibilities The Manager, STARS Improvement develops the programs ... collaborative relationships with Provider Engagement, Risk Adjustment, and Clinical..
Description The Case Manager Hybrid I/II will provide case ... Resource Services Communicate denials, high risk, or changes in level of ... accepted processes to limit financial risk to CNMC..
Description Humana is a publicly traded, Fortune 100 health benefits company with a long history of successful innovation and reinvention. It has transformed itself from the largest US nursing home company ..
... Information Humana AVP, Stars and Risk Adjustment National Medical Director in ... District Of Columbia Description The Healthcare Quality Reporting & Improvement (HQRI) ... national planning and operations for..
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 ..
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..
Job Information Humana Manager, Fraud and Waste-Remote US in ... District Of Columbia Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Full-Time/Regular REGISTERED NURSE - Risk Manager INTRODUCTION The ICE Health Services ... staff and contractors comprise the healthcare professionals working together to provide ... working together to provide quality healthcare..
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 ..
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..
... Finance M&A Integration Senior Project Manager in Washington District Of Columbia ... Finance M&A Integration Senior Project Manager to drive project-oriented duties related ... Finance M&A Integration Senior Project..
