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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..
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 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 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 ..
... in support of Humana's Commercial, Medicare, and Medicaid lines of business. ... Strategic Partner with all segments (Medicare, Group and Medicaid) accountable for ... closure. Participate with Commercial and..
Description Responsibilities The Director, Provider Contracting initiates, negotiates, and ... that provides health insurance. The Director, Provider Contracting requires an in-depth ... the function or segment. The Director, Provider Contracting..
... 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 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, HR Business Partner - CenterWell ... in 2022, including those in Medicare Advantage, value-based arrangements or other ... Advantage, value-based arrangements or other Medicare programs...
... 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..
... 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..
... 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..
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 Director of Public Policy in Lancaster ... Lancaster South Carolina Description The Director of Public Policy role resides ... including but not limited to, Medicare Advantage, health..
Job Information Humana Director, State Public Policy in Lancaster South Carolina Description The Director of State Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public ..
... Information Humana AVP, Stars and Risk Adjustment National Medical Director in Lancaster South Carolina Description ... national planning and operations for Risk Adjustment, Stars, and Interoperability. Specifically, ... associates..
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 ..