THE LARGEST COLLECTION OF JOBS ON EARTH
financial services
Supports PDF, DOC, DOCX, TXT, XLS, WPD, HTM, HTML files up to 5 MB
... contracting with downstream specialty providers. Contract Management: Direct leadership and supervision ... and processes necessary for optimal contract management. Partner with CDO Population ... with CDO Population Health and..
Description Responsibilities The Associate Director Medical/Financial Risk Evaluation leads a few powerful teams dedicated to reducing waste and abuse in the health care industry and its impacts on Humana. These teams ..
Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, ..
... individuals and professionals, every day. Contract Specialist, reporting to the Strategic ... reduction through YNHHS competitive reviews, contract negotiations and other agreed-upon strategies. ... includes appropriate use of required..
Description The Trend Team manages the trend bender process for the Retail organization. This includes the management of the medical cost savings initiatives as an input for the Medicare Advantage bids ..
... that create business value Conduct contract-, invoice- and service-based audits of ... supplier relationships and sites Interpret contract or other legal document language, ... guidance to business areas regarding..
Description The BI Lead is an integral position in Network Strategy & Analytics team responsible for oversight, design, and development of network analytics applications, centered around ownership of strategic initiatives focused ..
Description This position reports through Humana Pharmacy Supply Chain (PSC) team and performs various supply chain, financial and vendor management related tasks in support of Humana Pharmacy operations including, but not ..
Description Responsibilities The IT Finance Professional collects, compiles, verifies, and analyzes financial information and economic indicators so that senior management has accurate and timely information for making strategic and operational decisions ..
Description The Medical/Financial Risk Evaluation Professional 2 is responsible for supporting the development, implementation and monitoring of medical/financial risk. The Medical/Financial Risk Evaluation Professional 2 work assignments are varied and frequently ..
Description The Senior Financial Analytics Professional manages data to support and influence decisions on day-to-day operations, strategic planning and specific business performance issues. The Senior Financial Analytics Professional work assignments involve ..
Description The Director, Network Operations maintains provider relations to support customer service activities through data integrity management and gathering of provider claims data needed for service operations. The Director, Network Operations ..
Description The Credentialing Assistant 3 obtains and reviews documentation to determine status in a health plan. The Credentialing Assistant 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. ..
Description The Associate Director, Credentialing/Compliance manages the Dental Credentialing and Compliance team ensuring that dental providers are Credentialed/Re-credentialed according to CMS and State guidelines and that Humana's Dental Networks operate in ..
Job Information Humana Senior Business Intelligence Engineer - Wellness in Bridgeport Connecticut Description The Senior Business Intelligence Engineer - Wellness solves complex business problems and issues using data from internal and ..
Description The Senior Vendor Management Professional with Humana manages a diverse scope of complex vendor projects in collaboration with all areas of Claims Cost Mgt (CCM) in an effort to reduce ..
Description Celebrating diverse backgrounds and creating an environment of inclusion is at the heart of Humana. Our commitment is to ensure Humana's work environment is one in which every associate can ..
... payments to determine if correct contract reimbursement methodology was used. Patient ... resolve outstanding balances of disputed contract accounts. Identifies, organizes and presents ... feedback mechanism to determine if..
Description The Senior Value-Based Financial Analyst supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Programs Professional works on problems ..
Description The Lead, Cloud Services Management enables cloud to provide optimal performance, continuity and efficiency in virtualized, on-demand environments. The Lead, Cloud Services Management works on problems of diverse scope and ..