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Description The Director of Health Services for National Medicaid Clinical Operations utilizes clinical skills ... documentation and communication of medical services and/or benefit administration determinations. The ... and/or benefit administration..
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..
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Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, ... executes physician, hospital, and/or other provider behavioral health contracts for an ... function or segment. Responsibilities The Director, Provider Contracting-..
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 ..
... quality performance across all care services products including HEDIS, Quality, Value-based ... diverse areas such as member services, care management, population health, network, ... and delivery system reform. Develops..
... an AVP to lead its Provider Support team and associate's responsibilities. ... to ensure physician and healthcare provider education, reporting and materials are ... Clinical Strategy leads the HQRI..
Description As Humana's Medicaid membership continues to grow, the ... continues to grow, the National Medicaid Clinical Operations team is expanding ... team is expanding our shared services organization to..
... in Indiana is seeking a Director, Provider Services (Director, Provider Engagement) who will lead a ... in order to foster positive provider experiences, accurate and timely provider claims submissions,..
... and Risk Adjustment National Medical Director in Indianapolis Indiana Description The ... 1) inform and support HQRI's provider strategy across Stars, RA, and ... leader, this role leads HQRI's..
Job Information Humana Director of Public Policy in Indianapolis ... in Indianapolis Indiana Description The Director of Public Policy role resides ... the Centers for Medicare and Medicaid Services (in..
... goes beyond that of a provider to that of a well-being ... and Chief Medical Officer for Medicaid and will work closely with ... focus on the advancement of..
... health education and value-added, well-being services at the centers and around ... Responsibilities As a Regional Medical Director you will plan, organize, manage ... manage and supervise health care..
Job Information Humana Director of State Public Policy in ... to join our team as Director, State Public Policy. This role ... expert in state public payer, Medicaid and Duals..
Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..
Description The Director, Investment Portfolio Management requires an ... broad scope of transactions includes provider centric assets, Medicaid, Medicare, Homecare, and IT services. The Director of Investment Portfolio Management in..
... quality, grievances and appeals, member services, provider services, and business continuity planning and ... Equivalent experience in administering long-term services and supports programs, including HCBS ... HCBS (Home and..
Job Information Humana Director, Behavioral Health Network & Market ... Health Network & Market Strategy (Medicaid) in Indianapolis Indiana Description The ... in Indianapolis Indiana Description The Director, Behavioral Health..
Job Information Humana Director, Behavioral Health Strategy in Indianapolis ... in Indianapolis Indiana Description The Director, Behavioral Health (DBH) will ensure ... their behavioral health needs. The Director, Behavioral Health..
Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, ... executes physician, hospital, and/or other provider behavioral health contracts for an ... an organization that provides..
Description Humana's Indiana Medicaid State Market Leader will be ... administration of our managed long-term services and supports (MLTSS) program in ... will lead the Humana Indiana Medicaid executive team..
