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Description The Senior Vendor Management Professional with Humana manages a diverse scope of complex vendor projects in collaboration with all areas of Claims Cost Mgt (CCM) in an effort to reduce ..
... and suspected trend drivers Find contract provisions likely to have contract load issues Poorly worded outlier ... Humana's tables Special projects Investigate contract gaming Investigate contract driven utilization Required..
Description The Financial Planning & Analysis Lead analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. The Financial Planning & Analysis ..
Description The Finance Management Professional is a key ... role serves as a strategic finance partner for the Infrastructure and ... and process improvements. Responsibilities The Finance Management Professional performs..
Description The Supervisor, Provider Engagement develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the contracted working ..
Complex Claims Specialist - Program Law Duties: The candidate performs a combination of duties in accordance with departmental guidelines. Manages an inventory of moderate to high complexity and exposure commercial claims ..
Job Information Humana FP&A Lead, Medicaid Market in Albuquerque New Mexico Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina ..
... market contracting teams to influence specialist contract terms that align with Service ... in close coordination with PCP Contract Load, Capitation Rates, Payments, and ... Adjustments teams to ensure..
Description The Value-Based Programs Strategy Lead supports the creation of complex value-based programs. The Value-Based Programs Lead provides strategic advice and guidance to functional team(s) related to value-based vendor and specialty ..
Description Reporting to the Procurement Director - Strategy, Process Excellence and Analytics, the Senior Process Improvement Professional - Process Excellence is accountable for driving excellence in Source to Pay processes and ..
... Mexico. As a Customer Service Specialist, you will make a difference ... for all.As a Customer Service Specialist, you will: Provide excellent customer ... be a successful Customer Service..
Admin / Clerical (188) Advanced Practice Registered Nurses / Physician Assistants (339) Allied Health (3185) Executive (81) Operations (252) Physicians/Surgeons (1354) Quality/Risk Management (19) Type Contract (1) Fellowship (0) Full Time ..
Description The Finance Professional 2 Role will support ... owners, and multiple teams across finance on a regular basis to ... Processes across IT. Responsibilities The Finance Professional 2 Role..
Compliance Specialist Duties: Participates in the administration and oversight of compliance programs for all jurisdictions and product lines written by CopperPoint. Works with the CCO, VP Compliance, and Compliance Oversight Committee ..