Contract Management Analyst Jobs

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 Contract Tools, Education, Processes Lead - ... in Toledo Ohio Description The Contract Tools, Education, Processes Lead exercises ... best in class knowledge. The Contract Tools, Education,..

... and Commercial product implementation, operations, contract compliance, and federal contract application submissions. The Senior Market ... data processing for New Network Management Presents, explains, and communicates to ... 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 Cloud Security Engineer (virtual remote) in Toledo 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 Provider Engagement Professional in Toledo Ohio Description Humana Healthy Horizons Plan in Ohio seeks highly motivated Engagement Professionals to provide end to end provider experience as a ..

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 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 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 ..

Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Toledo Ohio 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 Toledo Ohio Description The Senior Value-Based Programs Reporting/Data Professional builds templates, standard documentation, policy and protocol, and ..

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 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 Compliance Lead - Remote in Toledo Ohio Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging ..

Job Information Humana Senior Provider Contracting Professional - OH Medicaid in Toledo Ohio Description The Senior Provider Contracting Professional initiates, negotiates, and executes behavioral health physician, hospital, and/or other provider contracts ..

... 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 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 ..

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 ..

Job Information Humana Network Optimization Lead (OH Medicaid) - Remote, Ohio in Toledo Ohio Description The Network Optimization Lead, Ohio Medicaid, is responsible for driving network optimization and value, while also ..

... 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 Value-Based Strategies - CMS Programs Strategy Lead - Remote in Toledo Ohio Description Value-Based Strategies - CMS Programs Strategy Lead will support Humana through successful participation in CMS/CMMI ..

Job Information Humana Senior Compliance Professional- REMOTE (Anywhere in the US) in Toledo Ohio Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental requirements. The Senior Compliance Professional ..

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 ..