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Description The Director, Actuarial Pricing is responsible for ... standard and custom benefits. The Director, Actuarial Pricing requires an in-depth ... help shape Humana Strategy. This Director will lead a..
Description The Director, Market Development provides support to ... and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, ... federal contract application submissions. The Director, Market Development requires..
... to join our team as Director of Strategy for our Healthcare ... comprised of two main teams: Risk Adjustment and Health Quality & ... Health Quality & Stars. The..
... are seeking a highly skilled Director of Actuarial Services to join ... based in Northern California. The Director of Actuarial Services for Medicare will play a crucial role .....
... development of processes relating to Medicare risk adjustment, documentation, and in-home wellness ... assessments (in partnership with Humana's Medicare Risk Adjustment team, as well as ... This will include..
Description The Director, Health Services Nursing serves as ... building out clinical capabilities. The Director will be responsible for driving ... and financial stewardship Responsibilities The Director, Utilization Management Behavioral..
Description The Director, Network Operations maintains provider relations ... needed for service operations. The Director, Network Operations requires an in-depth ... function or segment. Responsibilities The Director, Network Operations manages..
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 Director, Provider Contracting- Behavioral Health initiates, ... function or segment. Responsibilities The Director, Provider Contracting- Behavioral Health communicates ... across all lines of business Medicare, Commercial, and Medicaid...
We have an opportunity to join Central California Alliance for Health (the Alliance) as the Compliance Director , leading our Compliance department. This position is available in any of our three ..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Description The Director, Clinic/Center Administration plans and directs the work of professional and support personnel who provide outpatient care to patients in a clinical setting. The Director, Clinic/Center Administration requires an ..
... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... that leads Humana's Stars and Risk Adjustment Strategy, operations, and performance ... The AVP, MD, Stars and..
Job Information Humana Director, State Public Policy in Torrance California Description The Director of State Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public policy ..
... comprised of two main teams: Risk Adjustment and Health Quality & ... Health Quality & Stars. The Risk Adjustment team collects and submits ... and governance processes targeting Humana's..
Description The Director, Value-Based Strategies - Humana Care ... Humana's Direct Contracting Entity. The Director will develop and deploy the ... Humana's Direct Contracting Entity. The Director, Value-Based Strategy requires..
... Information Humana AVP, Stars and Risk Adjustment National Medical Director in Torrance California Description The ... national planning and operations for Risk Adjustment, Stars, and Interoperability. Specifically, ... associates..
... the following functions: Performance Improvement, Risk Management, Case Management and Infection ... Control. The DCQI is the Risk Manager and Patient Safety Officer. ... have working knowledge of standards,..
Job Information Humana Director of Public Policy in Torrance ... in Torrance California Description The Director of Public Policy role resides ... including but not limited to, Medicare Advantage, health..
Job Information Humana : Director, HR Business Partner - CenterWell ... in 2022, including those in Medicare Advantage, value-based arrangements or other ... Advantage, value-based arrangements or other Medicare programs...
