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Description The Senior Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Senior Market ..
Description The Associate Director of IT Category Management will lead the team of Category Managers to drive cost savings via a robust 7-step process, oversee negotiations, implement contracts, and drive successful ..
Description Responsibilities The IT Procurement Lead investigates available hardware and software products; evaluates and recommends products based on user requirements. Coordinates with the procurement function to interview, select and negotiate with ..
Job Information Humana Value-Based Strategies - CMS Programs Strategy Lead - Remote in Canton Ohio Description Value-Based Strategies - CMS Programs Strategy Lead will support Humana through successful participation in CMS/CMMI ..
Description The Network Optimization Lead oversees various efforts involving highly complex data analysis and consultation projects/contracts. The Network Optimization Lead works on problems of diverse scope and complexity ranging from moderate ..
SCM Data & Governance Lead ','2300003C','!*!SCM Data & Governance Lead, as to Data - responsible/accountable for supporting the SCM activities and tasks associated with implementation of a new ERP system. Working ..
... business partners. These processes support compliance initiatives, new contracting strategies, and ... performance, business case realization, or compliance. Provider Process also supports business ... to: IT, Credentialing Operations, Provider..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..
Job Information Humana Senior Compliance Professional- REMOTE (Anywhere in the ... Canton Ohio Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental ... and governmental requirements. The..
Description The Senior IT Compliance Professional audits the most complex ... information systems procedures are in compliance with corporate standards. The Senior ... corporate standards. The Senior IT Compliance Professional..
Job Information Humana Senior Market Development Professional in Canton Ohio Description The Senior Behavioral Health Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicaid product ..
Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they ... Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities The Senior Compliance..
Job Information Humana Market Development Advisor in Canton Ohio Description The Behavioral Health Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer Group product implementation, ..
Job Information Humana Senior Cloud Security Engineer (virtual remote) in Canton Ohio Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this position The Remote Senior Cloud Security Engineer ..
Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Canton ... Canton Ohio Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..
Description The Behavioral Health Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer Group product implementation, operations, contract compliance, and federal contract application submissions. The ..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... for well-being Responsibilities The Senior..
Job Information Humana Network Optimization Lead (OH Medicaid) - Remote, Ohio in Canton Ohio Description The Network Optimization Lead, Ohio Medicaid, is responsible for driving network optimization and value, while also ..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Canton Ohio Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..
Job Information Humana Compliance Lead - Remote in Canton ... in Canton Ohio Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of .....
Description The Claims Educator is responsible for ensuring prompt and accurate provider claims processing of original claims, resubmissions, and overall adjudication of claims. The Claims Educator manages claims operations that involve ..
Job Information Humana Senior Market Data Professional - Remote in Canton Ohio Description The Senior Market Data Professional provides support to assigned health plan and/or specialty companies relative to Medicare, Medicaid, ..