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Description Responsibilities The Associate Director for ACD Audit , at ... ACD Audit , at the director of the Director of Payment Integrity, will create ... focused on the beneficiary..
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Description The Director, Provider Reimbursement is responsible for the ... and execution of Humana Military's provider reimbursement methodologies. This leader is ... prospective payment system software, and provider-specific reimbursement factors..
Description The Associate Director, Credentialing/Compliance manages the Dental Credentialing ... state and federal regulations.. The Associate Director, Credentialing/compliance requires a solid understanding ... and external vendors/associations. Responsibilities The Associate Director,..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Description The Associate Director, Utilization Management Nursing uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, ..
Job Information Humana Associate Director, Provider Engagement (Ohio Medicaid) - Remote, ... Healthy Horizons is seeking an Associate Director, Provider Engagement who will oversee a ... care for Humana members...
Description The Behavioral Health Medical Director responsible for behavioral health care ... operations. The Behavioral Health Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director..
Job Information Humana Director, Informatics in Cincinnati Ohio Description ... in Cincinnati Ohio Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..
Job Information Humana Associate Director, Provider Relations (Ohio Medicaid) - Remote, ... Healthy Horizons is seeking an Associate Director, Provider Relations who will oversee the ... oversee the Ohio Medicaid..
Description The Director, Population Health Strategy is responsible for improving the quality of care and outcomes while managing costs for a defined group of people. The Director, Population Health Strategy requires ..
Job Information Humana Director, Behavioral Health Network & Market ... in Cincinnati Ohio Description The Director, Behavioral Health (BH) Network and ... with business development teams and provider contracting. Responsibilities..
Description The Director, Quality Improvement implements quality improvement ... plan, and annual evaluation. The Director, Quality Improvement requires an in-depth ... interrelate across departments. Responsibilities The Director, Quality Improvement provides..
Job Information Humana Associate Director, National Contracting Alabama in Cincinnati Ohio Description ... in Cincinnati Ohio Description The Associate Director, Provider Contracting initiates, negotiates, and executes physician, ... executes physician,..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director will provide..
... experience and vitality of the associate community. Through offerings anchored in ... for the newly-created role of Associate Vice President, Behavioral Health Strategy. ... our most vulnerable members. The..
Description The Associate Director, Payment Integrity uses technology and ... and our financial recovery. The Associate Director, Payment Integrity requires a solid ... interrelate across department(s). Responsibilities The Associate Director,..
Job Information Humana Director, Contract Tools, Education, Processes (remote ... in Cincinnati Ohio Description The Director, Contract Tools, Education, Processes manages ... best in class knowledge. The Director, Contract Tools,..
Description The Associate Director, Quality Improvement implements quality improvement ... plan, and annual evaluation. The Associate Director, Quality Improvement requires a solid ... interrelate across department(s). Responsibilities The Associate Director,..
Job Information Humana Director, Network Optimization, Ohio Medicaid in ... in Cincinnati Ohio Description The Director, Network Development oversees the strategic ... maintenance of Ohio Medicaid plan's provider network. This..
Description The National Delegation Oversight and Support (NDOS) Associate Director role within the Value Based Strategies team, will collaborate with our Operational Risk Management, Delegation Compliance, various functional business owners (such ..
Description The Hospital Contracting Executive initiates, negotiates, and executes ... executes physician, hospital, and/or other provider contracts and agreements for an ... provides health insurance. The Hospital Contracting Executive works..
