Business Development Healthcare Jobs

Description The Senior Stars Improvement, Clinical Professional responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Senior Stars Improvement, Clinical Professional work assignments involve moderately ..

... will be responsible for the development and management of positive, long-term ... excellence. Decisions and responsibilities include development of effective DCE/participating provider relationships, ... between DCE and participating providers,..

... Minimum of 1 year of healthcare fraud investigations or auditing experience ... or auditing experience Knowledge of healthcare payment methodologies Understanding of healthcare industry, claims processing and investigative .....

Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the Department of Defense to administer the TRICARE health program for military members, retirees and their ..

... digital-first platforms, analytics, and agile development methodologies. An opportunity to join ... lasting, positive changes in the healthcare industry. As a clinical informaticist ... members, be exposed to DH&A's..

... as a focus on collaborative business relationships, value based care, population ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..

... measures the effectiveness of existing business processes and develops sustainable, repeatable ... develops sustainable, repeatable and quantifiable business process improvements. The Senior Process ... as well as other HCS..

... direction to identify and address business issues and opportunities related to ... the end-to-end project of strategy development. Required Qualifications Bachelor's degree or ... degree or Advanced Degree in..

... 41) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... President, Strategy Advancement for our..

... not limited to: Supports the development and implementation of quality improvement ... building Experience working with cross-functional business areas Role Desirables Bachelor's Degree ... degree Advanced degree in a..

... clinical operations delivery, Preauthorization List development and governance, Mental Health Parity, ... processes are in place; Support development of national clinical staffing models ... *Bachelor's Degree in health or..

... products and uses customer and business partner feedback to evaluate product ... the Employer Segment from concept development through delivery. You will also ... Specialty Leadership Collaborates on the..

... Manager will work side-by-side with business partners to assist in the ... They will work with the development team to ensure the right ... ideal candidate has experience in..

... broad, advanced product experience and business acumen. Responsibilities As the Director ... Management, you will drive the development of strategic, high-performing transformational clinical ... lifecycle, user and buyer experiences,..

Description The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for claims reserve valuation, financial forecasting, and strategic and operational decisions within ..

... Practice Lead builds strategies for development, engagement, best clinical practices and ... Minimum 2 years working in healthcare or a related industry 3 ... with data and analytics Strong..

... growth opportunities and work with business leaders to prioritize strategic investments ... industry analysis, building high level financial/business modeling, conducting qualitative analysis (e.g. ... services to Humana's lines of..

Description The Senior Physician Recruiter recruits qualified physicians for medical staff and assists in development of strategic physician recruitment plans. The Senior Physician Recruiter work assignments involve moderately complex to complex ..

Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides managed Medicaid health insurance. Requires an ..

... leads transformations and experience improvement development for Humana's digital member portal ... portal. Connect member needs with business value propositions and development feasibility. Simplify complex problems and ... users..

Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the Department of Defense to administer the TRICARE health program for military members, retirees and their ..

Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Colorado Springs Colorado Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with ..

... - Fully Insured supports strategy development, delivery, and management of the ... portfolio for the Employer Group business. Responsibilities The Senior Product Manager ... framework, and uses customer and..