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financial services
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... contracting with downstream specialty providers. Contract Management: Direct leadership and supervision ... and processes necessary for optimal contract management. Partner with CDO Population ... with CDO Population Health and..
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Description The M&A IT integration leader will provide strategic guidance with regards to IT integration efforts to Humana's corporate development team and integration management office (IMO) on all growth opportunities (M&As, ..
... to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Market Development ... Florida Subcontractor value Effectively manage contract-related matters, inclusive of the following: ... key..
Description The Lead, Cloud Services Management enables cloud to provide optimal performance, continuity and efficiency in virtualized, on-demand environments. The Lead, Cloud Services Management works on problems of diverse scope and ..
... CPBS reports to the Sr. Manager, SBO Finance and is responsible for retrospective ... requested by the Supervisor or Manager to maintain a smooth operation ... course work in..
Description The Director, Network Operations maintains provider relations to support customer service activities through data integrity management and gathering of provider claims data needed for service operations. The Director, Network Operations ..
Description Responsibilities The IT Finance Professional collects, compiles, verifies, and analyzes financial information and economic indicators so that senior management has accurate and timely information for making strategic and operational decisions ..
... payments to determine if correct contract reimbursement methodology was used. Patient ... resolve outstanding balances of disputed contract accounts. Identifies, organizes and presents ... the Senior Patient Account Specialist,..
Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, ..
Description The BI Lead is an integral position in Network Strategy & Analytics team responsible for oversight, design, and development of network analytics applications, centered around ownership of strategic initiatives focused ..
Description Responsibilities The Associate Director Medical/Financial Risk Evaluation leads a few powerful teams dedicated to reducing waste and abuse in the health care industry and its impacts on Humana. These teams ..
Description Celebrating diverse backgrounds and creating an environment of inclusion is at the heart of Humana. Our commitment is to ensure Humana's work environment is one in which every associate can ..
Description The Associate Director, Credentialing/Compliance manages the Dental Credentialing and Compliance team ensuring that dental providers are Credentialed/Re-credentialed according to CMS and State guidelines and that Humana's Dental Networks operate in ..
... individuals and professionals, every day. Contract Specialist, reporting to the Strategic ... reporting to the Strategic Sourcing Manager, will be responsible for supply ... reduction through YNHHS competitive reviews,..
