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... Proposal review and development, conducts contract risk review, negotiates contract terms and conditions, receives and ... activities for assigned programs, conducts contract risk management reviews and recommendations to efficiently..
Job Information Humana Contract Tools, Education, Processes Lead - ... in Kalamazoo Michigan Description The Contract Tools, Education, Processes Lead exercises ... best in class knowledge. The Contract Tools, Education,..
... internal and external customers. The Contract Analyst is responsible for administering Group ... membership across all MedSurg customers. Contract Analyst will process MedSurg LOC’s (Letters ... or GPO pricing..
Job Information Humana Senior Compliance Professional- REMOTE (Anywhere in the US) in Kalamazoo Michigan Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental requirements. The Senior Compliance Professional ..
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 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 ..
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 ..
Description The Senior IT Compliance Professional audits the most complex new and existing information systems applications to ensure that appropriate controls exist, that processing is efficient and accurate, and that information ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
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 Value-Based Strategies - CMS Programs Strategy Lead - Remote in Kalamazoo Michigan Description Value-Based Strategies - CMS Programs Strategy Lead will support Humana through successful participation in CMS/CMMI ..
Job Information Humana Senior Cloud Security Engineer (virtual remote) in Kalamazoo Michigan Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this position The Remote Senior Cloud Security Engineer ..
Job Information Humana Compliance Lead - Remote in Kalamazoo Michigan Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging ..
... and executes large-scale people change management plans. The Senior Process Improvement ... to: IT, Credentialing Operations, Provider Contract Load, Data Collection and Verification ... a heavy emphasis on project..
Description The Senior Software Engineer codes software applications based on business requirements. The Senior Software Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data ..
... to test Participates in vendor contract planning and implementing new solutions ... or more years of product management experience and/or clinical implementation Leadership ... and Outlook Excellent organizational, time..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Kalamazoo Michigan Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..
Job Information Humana Senior Value-Based Programs Reporting/Data Professional - Louisville, KY or Remote in Kalamazoo Michigan Description The Senior Value-Based Programs Reporting/Data Professional builds templates, standard documentation, policy and protocol, and ..
Contract Specialist, GS-11 Duties: The candidate ... the solicitation document using agency contract writing systems for issuance, insuring ... using sealed bidding. Serves as contract administrator on awarded contracts. Conducts..
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 ..
Why Patients Need YouPfizer’s Environmental, Health and Safety team is critical to ensuring the highest safety standards are met patients and our colleagues. You will be part of an innovative community ..