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Description The Associate VP, Enterprise Voice Platform is responsible for designing and implementing the organization's complex telephony infrastructure in line with pre-identified business needs and requirements while driving innovation and ensuring ..
... (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..
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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, 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..
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..
... 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..
... 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..
... underwriting, as well as aligned provider and clinical partners, to improve ... Presidents, Market Presidents, RVPs EG Provider Strategies, Market Medical Officers (MMOs) ... landscape and trends within the..
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 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, Claims Cost Management uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
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 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 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, 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 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 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 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 The Associate VP, Payment Integrity uses technology to detect anomalies in data to identify and collect overpaid claims. Contributes and leads the process of identifying fraud waste and abuse for ..
