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... relationships. Proven ability to negotiate risk-based and capitated contracts with health ... business partners Deep understanding of Medicare reimbursement, Medicare Advantage health plan economics, and ... capitation, quality reward..
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, 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..
... The Chief Medical Officer, Group Medicare relies on the medical background ... clinical strategy for the Group Medicare business. The CMO Group Medicare, requires and in-depth understanding of .....
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...
... 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 of Public Policy in Dover ... in Dover Delaware Description The Director of Public Policy role resides ... including but not limited to, Medicare Advantage, health..
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 ..
... as according to the Humana Medicare Model of Care. Supervise the ... necessity determination processes and Medical Director audit processes. . Provide oversight ... aspects of various levels of..
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 ..
Job Information Humana Director, State Public Policy in Dover Delaware Description The Director of State Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public policy ..
... 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..
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..
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...
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 Dover Delaware Description The ... national planning and operations for Risk Adjustment, Stars, and Interoperability. Specifically, ... associates..
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..
... 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..