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... contract is responsible for processing claims for more than 6 million ... than 6 million members, the claims processing and financial management functions ... to an external vendor. The..
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Description The Director of Health Services for National ... and/or benefit administration determinations. The Director, Health Services requires an in-depth ... the clinical delivery process. The Director of Health Services..
Description Reports directly to the Vice President, Medical Management Operations and serves as a member of the HGB Executive Committee. Leads functions related to HGB's Care Management programs to include predictive ..
Job Information Humana Director, Provider Contracting LTC Medicaid, FL ... in Tampa Florida Description The Director, Network Development, Long Term Care ... Medicaid Managed Care Contract. The Director will assess..
Description The AVP, Business Technology Solutions Implementation will oversees various system programs of a highly complex nature to deliver new technological solutions to meet business needs within a specified scope while ..
Description Humana is a Fortune 60 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of the ..
Description Humana is a Fortune 40 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of the ..
Description As a member of the company's Executive Council, the Tricare Program Leader (TPL) is the senior executive leader responsible for overseeing the cost, schedule, and technical performance of all TRICARE-related ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Tampa Florida ... Tampa Florida Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..