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... (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 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 Provider Analytics organization's vision is to ... care, and improved health outcomes. Provider Analytics develops and applies actionable ... business needs, to drive informed provider network strategy. Responsibilities..
Job Information Humana Director, Informatics in Dover Delaware Description ... in Dover Delaware Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..
... and Responsibilities: u003c/bu003eu003cbru003eu003cbru003eReporting to the Director, Market Access Strategy, the Assoc. ... overall brand objectives.u003cbru003eu003cbru003eu003cbu003eTypical Accountabilitiesu003c/bu003eu003cbru003eu003cbru003e• Supports Director, Market Access Strategy to develop ... pharmaceutical/biopharmaceutical market including payer marketing,..
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..
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 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..
Description As the Associate Director, Provider Contracting for the Mid-Atlantic region, you ... the challenge head-on! Responsibilities The Associate Director, Provider Contracting, leads a team of physician ... terms. This..
Job Information Humana Director, Behavioral Health Network & Market ... in Dover Delaware Description The Director, Behavioral Health (BH) Network and ... with business development teams and provider contracting. Responsibilities..
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 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..
... 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 Director, Contract Tools, Education, Processes (remote ... in Dover Delaware Description The Director, Contract Tools, Education, Processes manages ... best in class knowledge. The Director, Contract Tools,..
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..
Job Information Humana Associate Director, National Contracting Alabama in Dover Delaware Description ... in Dover Delaware Description The Associate Director, Provider Contracting initiates, negotiates, and executes physician, ... executes physician,..
... roles, including National u0026amp; Regional, Provider Networks and Channel account teams. ... and continued leadership in innovative contracting. This individual will assist in ... for launch and in-line products.u003cbru003eu003cbru003eThe..
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..
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 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..
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..
