Associate Director Provider Contracting Jobs in Louisville

Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Title: Medical Director Location: Work..

... (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..

... from Home KY Medicaid Medical Director - The Medical Director's primary responsibility is the review ... level of care. The Medical Director's work assignments involve moderately complex ... of..

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..

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 Louisville Kentucky Description ... in Louisville Kentucky Description The Associate Director, Provider Contracting initiates, negotiates, and executes physician, ... executes physician,..

... leader for the position of Associate Vice President, Strategy Advancement within ... include member engagement and enrollment, provider directory design, contract design and ... teams (Retail Markets, MRA team,..

Description The Associate VP, Payment Integrity uses technology to detect anomalies in data to identify and collect overpaid claims. Contributes and leads the process of identifying fraud waste and abuse for ..

Description The Director, Process Improvement analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Director, Process Improvement requires an in-depth understanding ..

Description Responsibilities This leader provides leadership to Humana's enterprise catalog of APIs. This role will provide thought and execution leadership across the technical platforms, process and governance of APIs used to ..

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..

... Organization influencing three key areas: Provider Relations, Clinical Outcomes, and Medical ... representing market specific input and Provider Development strategies, while also incorporating ... regional teams, and our value-based..

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..

Description The Director, Market Development provides support to ... federal contract application submissions. The Director, Market Development requires an in-depth ... proactive partnership governance framework. The Director, Market Development serves..

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 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 The Associate Director, STARS Improvement develops, implements, and ... improvement programs and initiatives. The Associate Director, STARS Improvement requires a solid ... interrelate across department(s). Responsibilities The Associate Director,..

... underwriting, as well as aligned provider and clinical partners, to improve ... Presidents, Market Presidents, RVPs EG Provider Strategies, Market Medical Officers (MMOs) ... landscape and trends within the..

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

Description Humana is a Fortune 60 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of the ..

Description The Medical Director actively uses their medical background, ... work. Responsibilities Title: Commercial Medical Director Location: Work At Home - ... weeks. Job Summary The Medical Director's work includes..

... underwriting, as well as aligned provider and clinical partners, to improve ... Presidents, Market Presidents, RVPs EG Provider Strategies, Market Medical Officers (MMOs) ... landscape and trends within the..

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..