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Job Information Humana Manager, Behavioral Provider Contracting in Atlanta Georgia Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers and facilities. Analyzes ..
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Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..
Description The Associate Medical Director serves as a health-care ... variety of health-related problems. The Associate Medical Director requires a solid understanding ... across multiple clinics/centers. The Area Medical Director..
Description The Care Manager, Telephonic Nurse Assistant 2 receives ... from members. The NAL Care Manager, Telephonic Nurse Assistant 2 is ... call center type experience Prior medical knowledge Ability..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... factors. Responsibilities Job Profile The..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... their daily work. Responsibilities..
Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... Saturday and Sunday. Responsibilities The Medical..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Job Information Humana Manager of Sales Administration- Roswell, GA ... sales professionals? If so, the Manager of Sales Administration is in ... and works alongside the Senior Manager of Medicare..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... of variable factors Responsibilities The..
Job Information Humana Manager, Behavioral Provider Contracting - Remote ... in Atlanta Georgia Description The Manager, of Behavioral Health Provider Contracting ... of those associates. Responsibilities The Manager, of Behavioral..
Description The Associate Medical Director serves as a health-care ... variety of health-related problems. The Associate Medical Director requires a solid understanding ... interrelate across department(s). Responsibilities The Associate Medical..
Description The Key Account Manager - Pharmacy Sales (KAM) role will be responsible for developing and managing critical business relationships with designated hospital and health system accounts. The objective of this ..
Description The Behavioral Health Medical Director makes determinations regarding prior ... Humana coverage policies and determinations, medical necessity criteria, clinical reference materials, ... conferences, and other reference sources. Medical Directors..
Description The Medical Director relies on fundamentals of ... and per diem requests. The Medical Director provides medical interpretation and determinations whether services ... some cases) contracts. Responsibilities The Medical..
... Information Centerwell Registered Nurse Case Manager Full Time in Marietta Georgia ... a Home Health RN Case Manager , you will: Provide admission, ... as directed by the Clinical..
... 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's primary responsibility is the ... responsibility is the review of medical authorizations or claims to determine ... or claims to determine the medical necessity of a..
... Stars and Risk Adjustment National Medical Director in Atlanta Georgia Description ... nationally. This role relies on medical background, business acumen, and industry-standard ... corporate strategic initiatives. Responsibilities The..
Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... a rotating basis Responsibilities The Medical..
