Director Provider Contracting Jobs in Georgia

... (CDO) is building out its contracting function. That team is charged ... through execution of a comprehensive contracting strategy. Against that backdrop, the ... is seeking an experienced healthcare..

Description The Director, Provider Engagement develops and grows positive, ... with the health plan. The Director, Provider Engagement requires an in-depth understanding ... function or segment. Responsibilities The Director, Provider..

Description Humana's Enterprise Clinical Management (ECM) organization is seeking a Director, Clinical Trend. As a clinical trend leader you will work with various partners in retail business, enterprise clinical strategy, clinical ..

... the creation of new value-based provider relationships with a focus on ... a focus on improving the provider experience and achieving path-to-value goals. ... the leader of Humana's Direct..

Description The Director, Network Operations maintains provider relations to support customer service ... integrity management and gathering of provider claims data needed for service ... needed for service operations. The..

Description The Hospital Contracting Executive initiates, negotiates, and executes ... executes physician, hospital, and/or other provider contracts and agreements for an ... provides health insurance. The Hospital Contracting Executive works..

Description The Director, Market Development provides support to ... federal contract application submissions. The Director, Market Development requires an in-depth ... proactive partnership governance framework. The Director, Market Development serves..

Description The Director, Process Improvement analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Director, Process Improvement requires an in-depth understanding ..

Description Responsibilities This leader provides leadership to Humana's enterprise catalog of APIs. This role will provide thought and execution leadership across the technical platforms, process and governance of APIs used to ..

Description Responsibilities The Director, Provider Contracting initiates, negotiates, and executes physician, ... physician, hospital, ancillary and/or other provider contracts and agreements for an ... that provides health insurance. The Director,..

... include member engagement and enrollment, provider directory design, contract design and ... teams (Retail Markets, MRA team, Contracting, DH&A, Home, etc.) and with ... space, ideally with experience navigating..

Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, and ... executes physician, hospital, and/or other provider behavioral health contracts for an ... function or segment. Responsibilities The Director, Provider..

Description The Director, Group Provider Strategy partners with the assigned ... Region on the Employer Group provider strategy, provider performance and health plan contract ... health plan contract compliance. The..

Description Responsibilities The Associate Director Medical/Financial Risk Evaluation leads a ... that report to this Associate director will assist in identifying 'NEW' ... Claims Process Organization, Markets and Provider Contracting..

Description Humana is a Fortune 60 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of the ..

Description The Director, Provider Reimbursement is responsible for the ... and execution of Humana Military's provider reimbursement methodologies. This leader is ... prospective payment system software, and provider-specific reimbursement factors..

Description The Director, Provider Contracting initiates, negotiates, and executes physician, ... executes physician, hospital, and/or other provider contracts and agreements for an ... that provides health insurance. The Director, Provider..

Description The Director, Group Provider Strategy partners with the assigned ... Region on the Employer Group provider strategy, provider performance and health plan contract ... health plan contract compliance. The..

Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, ... executes physician, hospital, and/or other provider behavioral health contracts for an ... the Medicaid segment. Responsibilities The Director, Provider..