Associate Director Provider Contracting Jobs

... (CDO) is building out its contracting function. That team is charged ... through execution of a comprehensive contracting strategy. Against that backdrop, the ... is seeking an experienced healthcare..

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 Responsibilities The Associate Director Medical/Financial Risk Evaluation leads a ... teams that report to this Associate director will assist in identifying 'NEW' ... Claims Process Organization, Markets and Provider..

Description The Medical Director actively uses their medical background, ... daily work. Responsibilities The Medical Director's work includes computer-based review of ... within their scope. The Medical Director may speak..

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 Associate VP, Business Transformation and Clinical ... for delivering new member and provider experiences created by multiple agile ... focused on customer experience and provider transformations. That..

Job Information Humana Director, Informatics in Colorado Springs Colorado ... Colorado Springs Colorado Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..

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,..

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 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..

Job Information Humana Director, Behavioral Health Network & Market ... Colorado Springs Colorado Description The Director, Behavioral Health (BH) Network and ... with business development teams and provider contracting. Responsibilities..

Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The Medical Director actively uses..

... 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 Medical Director actively uses their medical background, ... daily work. Responsibilities The Medical Director's work includes computer-based review of ... within their scope. The Medical Director may speak..

Job Information Humana Medical Director - National Medicare Team in ... Springs Colorado Description The Medical Director relies on medical background and ... requests for services. The Medical Director work..

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..

Job Information Humana UM Medical Director - Conviva in Colorado Springs ... Springs Colorado Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director..

Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... daily work. Responsibilities The Medical Director provides medical interpretation and decisions ... Summary The Behavioral Health Medical Director's..

Job Information Humana Medical Director - Florida Medicaid in Colorado ... Springs Colorado Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..

Description The Medical Director's primary responsibility is the review ... level of care. The Medical Director's work assignments involve moderately complex ... of health. Responsibilities The Medical Director actively uses..

... 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..

Job Information Humana Associate Director, National Contracting Alabama in Colorado Springs Colorado ... Colorado Springs Colorado Description The Associate Director, Provider Contracting initiates, negotiates, and executes physician, ... executes physician,..

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,..