Manager Healthcare Provider Service Jobs in Cutler Bay

Description The Manager, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Manager, Pre-Authorization ..

Job Information Humana Provider Contracting Manager in Doral Florida Description The ... in Doral Florida Description The Provider Contracting Manager initiates, negotiates, and executes physician, ... executes physician, hospital, and/or..

Job Information Humana Field Care Manager Women's Health Nurse 2 - ... Florida Description The Field Care Manager Nurse 2 assesses and evaluates ... of members. The Field Care Manager..

Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..

Description The Manager, Risk Adjustment oversees coding educators ... and Medicaid Services (CMS). The Manager, Risk Adjustment works within specific ... schedules and goals. Responsibilities The Manager, Risk Adjustment oversees..

Description The Bilingual Spanish/English Provider Contracting Professional 2 initiates, negotiates, ... executes physician, hospital, and/or other provider contracts and agreements for an ... that provides health insurance. The Provider Contracting..

... 40) market leader in integrated healthcare with a clearly defined purpose ... Experience - Shopping, Enrollment, & Self-Service. In this role, you set ... Humana.com marketing, shopping, enrollment, and..

Job Information Kindred at Home Healthcare Account Executive in Miami Florida ... input on key customer opportunities, service line extensions and proposal or ... to appropriately represent the Company service..

Description Healthcare isn't just about health anymore. ... of our patients, and the healthcare industry as a whole. The ... a whole. The Field Care Manager Nurse 2 assesses and..

Description The Bilingual Spanish/English Provider Contracting Professional 2 initiates, negotiates, ... executes physician, hospital, and/or other provider contracts and agreements for an ... that provides health insurance. The Provider Contracting..

Description The Provider Contracting Professional 2 communicates contract ... Follows established guidelines/procedures. Responsibilities The Provider Contracting Professional 2 initiates, negotiates, ... and executes Long-Term Care (LTC) provider contracts and agreements..

... 60 market leader in integrated healthcare whose dream is to help ... CarePlus is seeking a talented healthcare/health insurance leader for the role ... for the role of Director,..

Job Information Centerwell Healthcare Account Executive in Coral Gables ... input on key customer opportunities, service line extensions and proposal or ... to appropriately represent the Company service capabilities to..

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

Description The Bilingual Spanish/English Provider Contracting Professional 2 initiates, negotiates, ... executes physician, hospital, and/or other provider contracts and agreements for an ... that provides health insurance. The Provider Contracting..

Description The Provider Contracting Professional 2 communicates contract ... Follows established guidelines/procedures. Responsibilities The Provider Contracting Professional 2 initiates, negotiates, ... and executes Long-Term Care (LTC) provider contracts and agreements..

Description The Bilingual Spanish/English Provider Contracting Professional 2 initiates, negotiates, ... executes physician, hospital, and/or other provider contracts and agreements for an ... that provides health insurance. The Provider Contracting..

Job Information Centerwell Healthcare Account Executive in Hialeah Florida ... input on key customer opportunities, service line extensions and proposal or ... to appropriately represent the Company service capabilities to..

... 40) market leader in integrated healthcare with a clearly defined purpose ... Vice President, Digital Experience - Self-Service. In this role, you set ... execute the vision of Humana.com..

Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly-owned subsidiary of Humana, Inc., ..

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

Description The Provider Contracting Professional 2 communicates contract ... Follows established guidelines/procedures. Responsibilities The Provider Contracting Professional 2 initiates, negotiates, ... and executes Long-Term Care (LTC) provider contracts and agreements..

Description The Field Care Manager Nurse 2 assesses and evaluates ... of members. The Field Care Manager Nurse 2 work assignments are ... action. Responsibilities The Field Care Manager Nurse..