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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, Health Services utilizes clinical nursing ... and/or benefit administration determinations. The Director, Health Services requires an in-depth ... segment. Responsibilities The SC Medicaid Director, uses clinical knowledge,..
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..
... 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, 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, 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 ..
... Information Humana AVP, Stars and Risk Adjustment National Medical Director in Tampa Florida Description The ... national planning and operations for Risk Adjustment, Stars, and Interoperability. Specifically, ... associates..
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, Business Support follows established procedures and guidelines to provide timely and effective clerical support to an office, business unit, department, or other organization group. The Director, Business Support ..
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, 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..
Job Information Humana JOB: 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...
Job Information Humana Director of Public Policy in Tampa ... in Tampa Florida Description The Director of Public Policy role resides ... including but not limited to, Medicare Advantage, health..
Description The Director, Coding and Risk Adjustment ensures coding is accurate ... of coders responsible for all risk adjustment functions to support PCOs ... adjustment functions to support PCOs risk..
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..
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...
Job Information Humana Director, State Public Policy in Tampa Florida Description The Director of State Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public policy ..
... in 21 Florida counties, offering Medicare Advantage HMO plans that have ... ratings by the Centers for Medicare and Medicaid Services in each ... leader for the role of..
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. Against..
... 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..