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Description The Director, Provider Contracting initiates, negotiates, and ... that provides health insurance. The Director, Provider Contracting requires an in-depth ... function or segment. Responsibilities This Director, Provider Contracting will..
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Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..
Description The Director, Provider Reimbursement is responsible for ... is responsible for the leadership, strategy development and execution of Humana ... team of associates. Responsibilities The Director, Provider Reimbursement develops..
... closely with the Quality Improvement Director, Quality Improvement Manager and pharmacy ... Understands department, segment, and organizational strategy and operating objectives, including their ... to assignments. Work influences department..
Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides managed Medicaid health insurance. Requires an ..
Description The Hospital Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Hospital Contracting Executive works on problems ..
... moderate to substantial. Responsibilities Humana Healthcare Research (HHR) needs your analytical ... tell a compelling story about healthcare today. Through the design and ... with meaningful real-life insights about..
Description Responsibilities Humana's Corporate Strategy team is a small, high-performing ... for the company's future. Within Strategy Operations, you will identify and ... and execute strategic transformation. The Strategy team..
Description As the Associate Director, IT Project Management, you will use your background and experience in program management to lead and manage a team of PMO professionals that support the delivery ..
Description The Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or ..
... acumen to solve for the healthcare challenges of today. The Clinical ... Title : Clinical Trend Medical Director Assignment: Enterprise Clinical Management, Clinical ... seeking a Clinical Trend Medical..
Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides health insurance. Requires an in-depth understanding of ..
Description Responsibilities The Associate Director for ACD Audit , at ... ACD Audit , at the director of the Director of Payment Integrity, will create ... optimizing operational processes. The..
... 41) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... team as Associate Vice President,..
Description The Lead Product Manager for Specialty products leads all phases of the product life cycle for Dental, Vision and Life products, from inception to introduction into the marketplace. Responsibilities Position ..
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..
... Humana is a Fortune 60 healthcare company with a history of ... top place to work in healthcare, especially in areas of Diversity ... Inclusion. Responsibilities Humana's Consumer Experience..
Description The Transplant Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates transplant members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families ..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The Medical Director provides medical..
Description The Director, Strategy Advancement provides data-based strategic direction ... by the SVP of Retail Strategy & Product. We're an entrepreneurial ... set on transforming the US healthcare system and..
... work closely with the Quality Director, Behavioral Health Director, Quality Improvement Manager and those ... Understands department, segment, and organizational strategy and operating objectives, including their ... to assignments...
Description The Director of Product Management for Clinical ... business acumen. Responsibilities As the Director of Product Management for Clinical ... Proven record in developing clinical strategy, vision and roadmap..
