Contract Consulting Jobs in Portland

Description Humana's National Medicaid Quality team is seeking a Market Consultant to be responsible for supporting individual Medicaid market quality teams and serving as the main relationship broker and liaison to ..

Job Information Humana Associate VP, Business Transformation and Clinical Innovation in Portland Maine Description The AVP, Business Transformation and Clinical Innovation leads the business transformation strategy and execution plans required to ..

Description The Contract Services team is part of ... reduce risk. Responsibilities The Senior Contract Management Professional is an experienced ... as the primary and/or secondary Contract Manager aligned to..

Description The Associate Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..

Description The Value-Based Programs Strategy Lead supports the creation of complex value-based programs. The Value-Based Programs Lead provides strategic advice and guidance to functional team(s) related to value-based vendor and specialty ..

Legal Assistant-Legal Affairs The candidate will provide legal support to and works in consultation with department attorneys on assignments related to corporate recordkeeping, contract assembly and editing, contract management, and other ..

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

Description Responsibilities The Senior Solutions Architect works with user groups to solve business problems with available technology including hardware, software, databases, and peripherals. Translates business needs into technical systems solutions. Integrates ..

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 ..

Job Information Humana Associate Vice President, Quality Improvement for Healthy Horizons in Portland Maine Description As a company whose primary focus is on the well-being of its members, Humana is dedicated ..

Job Information Humana Senior Business Intelligence Engineer (Wellness) Remote Nationwide in Portland Maine Description The Senior Business Intelligence Engineer - Wellness solves complex business problems and issues using data from internal ..

Description The purpose of the AVP, Technology Solutions is to implement and optimize SalesForce/ARC, that will allow Humana to efficiently scale operations, introduce new differentiating capabilities and improve overall quality needed ..

We are seeking a motivated, career-oriented Commercial Structural Engineering Manager for a partnership opportunity for our full-service structural engineering consulting firm located near Portland, Maine.  Responsible for leading the commercial building ..

... analytics, public health, epidemiology, data/healthcare consulting, actuarial science or any field ... more years of payer and/or consulting experience in the healthcare industry ... role with a payer or..

Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..

Description As a customer-centric company, our top priority has always been the health of the people we serve. Our decades of experience helping millions of members, and our continuous learning on ..

Description Come join the Data Governance office as Lead, Enterprise Data Governance! In this role you can help grow and implement the company's data use and external data strategies. Through applying ..

Job Information Humana Senior Compliance Professional (PBM & Pharmacy) in Portland Maine Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex ..

Description The Vendor Management Lead will work as the key liaison, relationship owner and operational point person between Medline and Humana. The OTC Vendor Management Lead will serve as the primary ..

Job Information Humana Senior Compliance Professional, Specialty Compliance in Portland Maine Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional works assignments involving moderately complex to ..

Job Information Humana Lead, Medicaid Technology Implementations New State Implementations & Re-procurements in Portland Maine Description The Lead, Medicaid Technology Implementations New State Implementations & Re-procurements devises an effective strategy for ..

Description The Talent Management Senior develops, implements, and evaluates employee development plans and programs to support organizational needs in a combination of disciplines such as management development, talent management, succession planning, ..

Job Information Humana Senior Network Strategy Professional-- REMOTE/WORK AT HOME (ANYWHERE IN THE US) in Portland Maine Description The Senior Network Strategy Professional oversees various efforts involving complex data analysis and ..